Resource Directory

User Guides
CARIN Implementation Guide for Blue Button®
User Guides
USCDI Core Data Standards
Best Practices/Checklists
Digital Quality Overview
Best Practices/Checklists
Transforming clinical data to FHIR®

You don’t need to have all of your data in FHIR® to start using digital quality measures. Here are some different approaches to preparing your clinical data.

Best Practices/Checklists
Clinical Quality Language and CQL Engines: The Basics

NCQA digital quality measure specifications are expressed using the Clinical Quality Language (CQL) standard for representing a clinical quality measure as an electronic document. Learn more about CQL and resources for building and maintaining CQL engines that can run digital HEDIS.

Best Practices/Checklists
HEDIS Implementation Guide: An Overview

FAQs

Does CMS support the move to dQMs?

Yes. After initially announcing that all quality measures would be converted to digital by 2025, CMS has moved this date to 2030. CMS recognizes that transitioning to dQMs will produce better insights about the health of populations and will increase the timeliness and relevance of information available to a “learning health system.” Together with ONC, CMS continues the push to standardize and harmonize health data through USCDI and USCDI+. With these data categories, FHIR (a uniform health data language) and APIs—the backbone of today’s internet economy—lay the groundwork for efficient exchange of health data.

How do dQMs help health care consumers?

As Congress continues to advance price transparency and value-based care, dQMs can revolutionize consumer choice. Through combined price and quality outcomes, consumers can get a true picture of the value of their care. Publicly available quality measurement information is about 2 years out of date; dQMs allow providers to view patient outcomes and needed interventions in real time.

How will dQMs ensure that patients’ sensitive health data are protected?

dQMs pull data from certified health technology, which adheres to patient privacy and protections mandated in the 21st Century Cure Act. Additionally, health information will reside with HIPAA covered entities that safeguard the information and comply with federal and state regulations and standards for handling PHI.

What are the benefits of dQMs versus traditional quality measures and eCQMs?

BenefitsTraditional MeasureseCQMsdQMs
Data sourcesMultipleSingleMultiple
Data capture uses existing workflows
Uses standard terminology
Uses standard measure logicVariable
Allows versatility in calculation and reportingLimitedLimited
Employs modular software solution
Timely data sharing
Automated data exchange via APIs
Promotes interoperability using broadly applicable data exchange methods
Leverages common data collection requirements
Harmonizes measurement across settings