Resources for Vendors
Standards and Testing Tools
Cypress is the rigorous and repeatable testing tool of Electronic Health Records (EHR) and EHR modules in calculating eCQMs used by CMS’s Quality Reporting Programs. The Cypress tool is open source and freely available for use or adoption by the health IT community including EHR vendors and testing labs. Cypress serves as the official testing tool for the EHR Certification program supported by the Office of the National Coordinator for Health IT (ONC).
NIST has developed a tool to test requirements and standards related to message transport specifications expressed within the 2015/2014 R2 Editions of the ONC Standards & Certification Criteria. The tool commonly referred to within this document and accompanying resources as the Edge Testing Tool (ETT), tests for adherence to the Edge Protocol standards during valid communication sessions between the ETT and a System Under Test (SUT).
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View, download and transmit to 3rd party
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Ambulatory setting only - clinical summaries
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Data portability
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Transitions of care - create and transmit summary care records
The United States Core Data for Interoperability (USCDI) is a standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange. Review the USCDI Fact Sheet to learn more.


The C-CDA Scorecard leverages the work completed by an ONC-funded grant — SMART (Substitutable Medical Apps Reusable Technologies) and promotes best practices in C-CDA implementation by assessing key aspects of the structured data found in individual documents. It is a tool designed to allow implementers to gain insight and information regarding industry best practice and usage overall. It also provides a rough quantitative assessment and highlights areas of improvement which can be made today to move the needle forward. The best practices and quantitative scoring criteria have been developed by HL7 through the HL7-ONC Cooperative agreement to improve the implementation of health care standards. We hope that providers and health IT developers will use the tool to identify and resolve issues of C-CDA document interoperability in their health IT systems.
The eCQI Resource Center is a website offered by CMS and ONC as a clearinhouse for Clinical Quality Measure information, including the latest standards, measure specifications and testing tool information. It's an indispensable stop for staying current on CQMs.
Offers an overview of the MIPS data validation and audit process that will be conducted in 2019 for the 2017 and 2018 performance years, detailing how to select MIPS participants for data validation, which MIPS performance measures and activities will be included, and associated timelines. DHIT developed SPARK to help defend your clients in the event of a CMS CQM audit, click here to read more.
Connect-a-thons
There are always plenty of new faces at Connect-a-thons and other healthcare IT meetups - an example of the growth in interest and a reminder that the standard requires ongoing outreach and education. Our team members frequently participate in these events and we would love to collaborate with you.
Resources for Hospitals/Clinicians
MIPS/APMs/QPP
CMS is continuing to allow MIPS eligible clinicians to participate in MIPS as individuals or as part of a group or virtual group, and they are expanding the use of the APM Entity submitter type to allow the use of all MIPS submission mechanisms.
Submit Electronic Clinical Quality Measures

The Quality Payment Program website includes resources on measure selection and submission of eCQMs in the context of the MIPS program as a whole. DHIT has included functionality in CQMsolution to enable you to directly submit to the QPP program. You also have the option to login to the QPP website and upload QRDA-III outputs from your application or rendered by CQMsolution.
Established by the Centers for Medicare & Medicaid Services (CMS), QualityNet provides healthcare quality improvement news, resources and data reporting tools and applications used by healthcare providers and others.
QualityNet is the only CMS-approved website for secure communications and healthcare quality data exchange between: quality improvement organizations (QIOs), hospitals, physician offices, nursing homes, end stage renal disease (ESRD) networks and facilities, and data vendors.
DHIT's extensive experience as an ORYX® submitter and authorized vendor enables us to assist our clients with reporting eCQMs as part of the overall hospital accreditation process. As a Data Submission vendor, not only can we calculate and compile eCQMs from your EHR data but we can electronically submit for you. CQMsolution supports all eCQMs for the latest edition of ONC Certification -- and that includes all eCQMs submitted to The Joint Commission (JHACO).
Certified Community Behavioral Health Clinics (CCBHC)
Certified Community Behavioral Health Clinics (CCBHCs) are designed to provide a comprehensive range of mental health and substance use disorder services, particularly to vulnerable individuals with the most complex needs during a federal demonstration program with participating states.
Dynamic Health IT is ready to assist you in the process of successfully reporting to quality programs. We take pride in our quality measure expertise. As a Qualified Registry, we are able to submit eCQMs to CMS for you or you may submit yourself to QualityNet
