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Clinical Quality Measure Testing Procedure
The Office of the National Coordinator continues to post updates to the approved Test Method for the ONC Health Information Technology Certification Program. On Friday March 26, 2016, ONC released an updated version of the ONC-Approved Test Procedure for testing of Electronic clinical quality measures [§170.314(c)(1) – (c)(3)]. Version 1.4 of this Test Procedure aligns with the recent update of the Cypress tool version 3.0 that was released on April 26, 2016. All those who are interested in updates to the testing materials should continue to visit the ONC website to view the latest, current versions of the ONC-Approved Test Procedures and associated Test Data and Test Tools. The latest version of the Quality Measures Testing Procedure can be found at Test Procedure for §170.314(c) Electronic Clinical Quality Measures. The 2015 edition is now published, delete edition reference so that it is not necessary to update on a regular basis.
Questions may be directed to ONC's Office of Certification via email.
The Cypress patient test data consists of:
- Synthetic patients designed to interact with and provide measure steward approved, gold standard expected results for the Electronic Clinical Quality Measures (eCQMs) selected for CMS quality reporting programs for Eligible Clinicians and Eligible Professionals (EP/EC), and for Eligible Hospital (EH) and Critical Access Hospitals (CAH). Cypress test patients are developed to cover at least 95% of possible eCQM logic pathways.
These standardized set of patient test data will be used as the primary evaluation mechanism for Electronic Health Record (EHR) vendor performance on clinical quality measure implementations via the Cypress software. It has not been designed to be an exhaustive test of all logical elements. Instead, the patient test data has been designed instead to provide a simplified and standardized representation of common population information for a eCQM software implementation to process and accurately calculate results.
Cypress v3 Release
Cypress v3 is now available for certification testing of the 2015, 2016 and 2017 updates to the CMS quality reporting programs eCQMs. Cypress 3.2.3 is the latest Cypress v3 release for use in the 2014 and 2015 ONC certification program
Cypress v4 Release
Cypress v4 is now available for certification testing of the electronic clinical quality measures (eCQMs) are updated for calendar year 2019 reporting. Cypress 4.0.2 is the latest Cypress v4 release for use in the 2015 ONC certification program
Cypress v3 User Guide
Cypress v3 can be used for certification testing of the 2015, 2016 and 2017 updates to CMS quality reporting programs eCQMs. The Cypress v3.2 User Guide can be found here.
Cypress v4 User Guide
Cypress v4 can be used for certification testing of electronic clinical quality measures (eCQMs) updated for calendar year 2019 reporting. The Cypress v4.0 User Guide can be found here.
Cypress Validation Utility for 2018 and 2019 Submission
The Cypress Validation Utility with support for the 2018 and 2019 (EH Only) QRDA Implementation Guides is now available for use by the vendor community. This new utility is intended as a development tool for EHR vendors who are testing synthetic QRDA Category I and Category III documents for conformance to CMS submission requirements for the 2018 and 2019 reporting periods. The Cypress Validation Utility is located on ONC’s here
The Standards Implementation & Testing Environment is a centralized set of tools designed to assist the implementers of Health Information Technology standards required for certification of Electronic Health Record (EHR) technology, and in general, enable interoperable health information exchange. SITE is divided into sandboxes, one for each supported standard.
Electronic Clinical Quality Measure Logic and Implementation Guidance
An updated document detailing the electronic Clinical Quality Measure Logic is publicly available.
2015 Edition Final Rule
The 2015 Edition Health IT Certification Criteria (2015 Edition) builds on past rulemakings to facilitate greater interoperability for several clinical health information purposes and enables health information exchange through new and enhanced certification criteria, standards, and implementation specifications. Taking into account public comments received on the 2015 Proposed Rule, the final rule continues to focus on the establishment of an interoperable nationwide health information infrastructure. Learn more by clicking here.
JIRA Bug Tracking System
JIRA is used by CMS and ONC to track issues or bugs associated with the electronic Clinical Quality Measures (eCQM). Access to the JIRA-Clinical Quality Measure Feedback System is available here . For assistance using the JIRA system, the JIRA-Clinical Quality Measure Feedback System Instructions are available.
eCQI Resource Center
The eCQI Resource Center is the one-stop shop for the most current resources to support Electronic Clinical Quality Improvement.