{"id":39100,"date":"2024-08-14T15:58:58","date_gmt":"2024-08-14T19:58:58","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=39100"},"modified":"2025-12-02T16:38:07","modified_gmt":"2025-12-02T21:38:07","slug":"helping-states-move-towards-a-digital-quality-system","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/helping-states-move-towards-a-digital-quality-system\/","title":{"rendered":"Helping States Move Towards a Digital Quality System"},"content":{"rendered":"<p>As health care systems evolve to support greater interoperability of electronic health care information, quality measurement must also evolve. Its future will be enabled by data standardization and exchange. Digital transformation is key to NCQA\u2019s strategy to make measurement of quality and equity in health care more precise, actionable, timely and easier to implement. Digital quality measures (dQM) will support consistent calculations and generate real-time results that can drive improved care. This resource guide outlines considerations and opportunities for state regulators supporting the move toward the digital quality system of tomorrow.<\/p>\n<h2>Supporting Advancements in Interoperability<\/h2>\n<p>Federal regulations from Office of the National Coordinator for Health Information Technology (ONC) and Centers for Medicare &amp; Medicaid Services (CMS) outline requirements to support better interoperability of electronic health care information using Fast Healthcare Interoperability Resources (FHIR\u00ae)1 application programming interfaces.2 By adopting this standard for exchanging information, health care platforms can easily communicate with each other and share data efficiently.<\/p>\n<p>While much of the effort to adopt FHIR will impact health IT vendors, providers and payers, states can also play a role in supporting interoperability, by investing in health information organizations and exchanges (HIO\/HIE) and\/or connecting to larger regional exchanges. They can also develop policies that encourage or require providers and payers to exchange data with these entities.<\/p>\n<h3>Where States Can Start<\/h3>\n<p>Explore resources that can help support the journey to data interoperability:<\/p>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">National Governors Association white paper: <\/span><a href=\"https:\/\/www.nga.org\/wp-content\/uploads\/2021\/03\/State-Strategies-to-Advance-Health-Data-Interoperability.pdf\"><i><span data-contrast=\"none\">State Strategies to Advance Health Data Interoperability<\/span><\/i><\/a><span data-contrast=\"auto\">.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:576,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:278,&quot;335559991&quot;:216}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><a href=\"https:\/\/www.medicaid.gov\/federal-policy-guidance\/downloads\/sho20003.pdf\"><span data-contrast=\"none\">CMS guidance for states <\/span><\/a><span data-contrast=\"auto\">on new interoperability rules.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:576,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:278,&quot;335559991&quot;:216}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><a href=\"http:\/\/build.fhir.org\/ig\/HL7\/davinci-deqm\/index.html\"><span data-contrast=\"none\">The Da Vinci Project<\/span><\/a><span data-contrast=\"auto\"> is a private sector initiative to help payers and providers impact clinical, quality, cost and care management outcomes. Da Vinci uses a multi-stakeholder process to promote adoption of standardized solutions, and publishes implementation guides that support data exchange between payers and providers for specific use cases.\u202f\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:576,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:278,&quot;335559991&quot;:216}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><a href=\"https:\/\/www.hl7.org\/gravity\/\"><span data-contrast=\"none\">The Gravity Project<\/span><\/a><span data-contrast=\"auto\"> seeks to identify coded data elements and associated value sets to represent SDOH data documented in EHRs across four clinical activities: screening, diagnosis, planning and interventions. The project focuses on three social risk domains: food insecurity; housing instability and quality; and transportation access.\u00a0<\/span><\/li>\n<\/ul>\n<h2>Standardizing Quality Measurement<\/h2>\n<h3>Digital Quality Measures<\/h3>\n<p><span class=\"TextRun SCXW109145569 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW109145569 BCX0\">dQM<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW109145569 BCX0\">s<\/span><span class=\"NormalTextRun SCXW109145569 BCX0\"> are self-contained collections of executable files (software) published in a standardized format (FHIR-CQL) <\/span><span class=\"NormalTextRun SCXW109145569 BCX0\">that <\/span><span class=\"NormalTextRun SCXW109145569 BCX0\">allow<\/span><span class=\"NormalTextRun SCXW109145569 BCX0\">s<\/span><span class=\"NormalTextRun SCXW109145569 BCX0\"> end<\/span> <span class=\"NormalTextRun SCXW109145569 BCX0\">users to interact with measures in a consistent, <\/span><span class=\"NormalTextRun SCXW109145569 BCX0\">reliable<\/span><span class=\"NormalTextRun SCXW109145569 BCX0\"> and interoperable manner. D<\/span><span class=\"NormalTextRun SCXW109145569 BCX0\">QM<\/span><span class=\"NormalTextRun SCXW109145569 BCX0\">s reduce the burden of measurement, improve delivery of <\/span><span class=\"NormalTextRun SCXW109145569 BCX0\">specifications<\/span><span class=\"NormalTextRun SCXW109145569 BCX0\"> and make it easier <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW109145569 BCX0\">to use<\/span><span class=\"NormalTextRun SCXW109145569 BCX0\"> measure content. HEDIS <\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW109145569 BCX0\">dQMs<\/span> <span class=\"NormalTextRun CommentStart SCXW109145569 BCX0\">are<\/span><span class=\"NormalTextRun SCXW109145569 BCX0\"> available through NCQA\u2019s <\/span><\/span><a class=\"Hyperlink SCXW109145569 BCX0\" href=\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/digital-content-services\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"TextRun Underlined SCXW109145569 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW109145569 BCX0\" data-ccp-charstyle=\"Hyperlink\">Digital Content Services<\/span><\/span><\/a>.<\/p>\n<h3>Leveraging Clinical Data<\/h3>\n<p>Although HEDIS measures cover many populations, conditions and services, most rely on claims data and retrospective reporting methods (e.g., manual medical record review) to assess quality. In 2015, NCQA introduced Electronic Clinical Data Systems (ECDS) reporting, which encourages use and sharing of electronic clinical data from a range of sources: clinical EHRs, registries and other data sources across health care systems. ECDS reporting is part of NCQA\u2019s larger strategy to enable a digital quality system, and aligns with the industry\u2019s move to digital measures. Leveraging standardized electronic clinical data will be key for future quality measures, and will:<\/p>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"auto\">Lead to <\/span><b><span data-contrast=\"auto\">greater insight<\/span><\/b><span data-contrast=\"auto\"> into quality measurement and improvement.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:576,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:278,&quot;335559991&quot;:216}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"auto\">Foster more <\/span><b><span data-contrast=\"auto\">patient-specific care<\/span><\/b><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:576,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:278,&quot;335559991&quot;:216}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"7\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Align<\/span><\/b><span data-contrast=\"auto\"> quality measurement with the new world of data interoperability and value-based payment models.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:576,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:278,&quot;335559991&quot;:216}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"8\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Decrease measurement burden<\/span><\/b><span data-contrast=\"auto\"> across the health care system.\u202f<\/span><\/li>\n<\/ul>\n<h2>HEDIS Measures Developed for ECDS Reporting<\/h2>\n<p>NCQA introduced ECDS reporting in three depression screening and follow-up measures that assess improvement in health outcomes, but require specific information not found in claims (e.g., use of a standardized tool to assess, score and monitor depression). Additional measures addressing alcohol screening, prenatal and postpartum care, immunizations and social needs were gradually introduced.<\/p>\n<div style=\"padding: 2rem 2rem 1rem 2rem; background-color: #5a7389; border-radius: 10px; margin-bottom: 1rem; color: #fff; box-shadow: 0 2px 4px rgba(0, 0, 0, .3); max-width: 580px;\">\n<h4 style=\"color: #fff;\">HEDIS Measures Developed for ECDS Reporting<\/h4>\n<ul>\n<li>Adult Immunization Status<\/li>\n<li>Prenatal Immunization Status<\/li>\n<li>Alcohol Screening and Follow-up<\/li>\n<li>Depression Screening and Follow-Up for Adolescents and Adults<\/li>\n<li>Depression Monitoring Using the PHQ-9<\/li>\n<li>Depression Remission or Response<\/li>\n<li>Prenatal Depression Screening and Follow-Up<\/li>\n<li>Postpartum Depression Screening and Follow-Up<\/li>\n<li>Social Needs Screening and Interventions<\/li>\n<\/ul>\n<\/div>\n<p><span class=\"TextRun SCXW98769737 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW98769737 BCX0\">NCQA <\/span><span class=\"NormalTextRun SCXW98769737 BCX0\">is<\/span> <span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW98769737 BCX0\">evolving<\/span> <span class=\"NormalTextRun SCXW98769737 BCX0\">a subset of measures that use \u201ctraditional\u201d HEDIS reporting methods (administrative and hybrid) to ECDS-only reporting. <\/span><span class=\"NormalTextRun SCXW98769737 BCX0\">We are <\/span><span class=\"NormalTextRun SCXW98769737 BCX0\">explor<\/span><span class=\"NormalTextRun SCXW98769737 BCX0\">ing expansion of<\/span><span class=\"NormalTextRun SCXW98769737 BCX0\"> the ECDS reporting standard across HEDIS to reduce the burden of medical record review and <\/span><span class=\"NormalTextRun SCXW98769737 BCX0\">facilitate<\/span><span class=\"NormalTextRun SCXW98769737 BCX0\"> the transition to a fully digital quality measurement system.\u202f<\/span><\/span><span class=\"EOP SCXW98769737 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:278}\">\u00a0<\/span><\/p>\n<h3>ECDS Transition Timeline for HEDIS Reporting<\/h3>\n<div class=\"ncqa-table\">\n<table>\n<thead>\n<tr>\n<th>\u200bMeasure<\/th>\n<th>MY 2023<\/th>\n<th>MY 2024<\/th>\n<th>MY 2025<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Breast Cancer Screening<\/td>\n<td colspan=\"3\">ECDS reporting<\/td>\n<\/tr>\n<tr>\n<td>Colorectal Cancer Screening<\/td>\n<td rowspan=\"3\">ECDS reporting alongside traditional<\/td>\n<td colspan=\"2\" rowspan=\"3\">ECDS reporting<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #fff;\">Follow-Up Care for ADHD Medication<\/td>\n<\/tr>\n<tr>\n<td>Monitoring for Children on Antipsychotics<\/td>\n<\/tr>\n<tr>\n<td>Immunizations for Adolescents<\/td>\n<td rowspan=\"3\">ECDS reporting alongside traditional<\/td>\n<td colspan=\"2\" rowspan=\"3\">ECDS reporting<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #edf3f9;\">Childhood Immunization Status<\/td>\n<\/tr>\n<tr>\n<td>Cervical Cancer Screening<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h3>Proven Value in the ECDS Method<\/h3>\n<p><span data-contrast=\"auto\">NCQA released a <\/span><a href=\"https:\/\/wpcdn.ncqa.org\/www-prod\/2022\/11\/Special-Report-Nov-2022-Results-for-Measures-Leveraging-Electronic-Clinical-Data-for-HEDIS.pdf\"><span data-contrast=\"none\">report<\/span><\/a><span data-contrast=\"auto\"> summarizing MY 2021 HEDIS results for measures available for ECDS reporting. Reporting highlights include:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:278}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"9\" data-aria-level=\"1\"><span data-contrast=\"auto\">A large increase in ECDS reporting from previous years.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:576,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:278,&quot;335559991&quot;:216}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"10\" data-aria-level=\"1\"><span data-contrast=\"auto\">ECDS reporters represent 94% of commercial plans, 75% of Medicaid plans and 50% of Medicare plans.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:576,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:278,&quot;335559991&quot;:216}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"11\" data-aria-level=\"1\"><span data-contrast=\"auto\">More plans are leveraging EHR, HIE\/registry and case management data for reporting.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:576,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:278,&quot;335559991&quot;:216}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"12\" data-aria-level=\"1\"><span data-contrast=\"auto\">ECDS reporting plans for the Medicaid product cover most states.<\/span><\/li>\n<\/ul>\n<h2>Enabling Standardized Clinical Data Across the Health Care System<\/h2>\n<p><span data-contrast=\"auto\">The NCQA Data Aggregator Validation program evaluates clinical data streams to help ensure that health plans, providers, government organizations and others can trust the accuracy of aggregated clinical data for use in HEDIS reporting and other quality programs. Once validated, HIEs and other aggregators can share validated data sources as standard supplemental data for quality reporting without the need for audit. <\/span><b><i><span data-contrast=\"auto\">This program enables more data, and more data sources, to be trusted, useful and comparable, resulting in decreased burden, streamlined processes between health care segments and improved care quality.<\/span><\/i><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:278}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Performance results for measures available for ECDS reporting are publicly reported. Public reporting and inclusion in state programs will enable plans to compare measure results, driving improvement and leading to more investment in efforts that support electronic clinical data exchange. Visit <\/span><a href=\"https:\/\/www.ncqa.org\/hedis\/the-future-of-hedis\/hedis-electronic-clinical-data-system-ecds-reporting\/\"><span data-contrast=\"none\">ncqa.org\/ecds<\/span><\/a><span data-contrast=\"auto\"> for announcements about public reporting status.<\/span><\/p>\n<h2>State Examples Supporting Digital Quality<\/h2>\n<p>States can use policy levers to advance toward standardized digital quality reporting. Although the ECDS standard is new, and optional for most plans, some states require or encourage ECDS reporting to increase adoption of digital quality measures. States can also leverage contracts with MCOs to ensure that providers are connected to HIOs\/HIEs, leading to more robust electronic quality measure extraction.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As health care systems evolve to support greater interoperability of electronic health care information, quality measurement must also evolve. Its future will be enabled by data standardization and exchange. Digital transformation is key to NCQA\u2019s strategy to make measurement of quality and equity in health care more precise, actionable, timely and easier to implement. Digital [&hellip;]<\/p>\n","protected":false},"author":45,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-single-column.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-39100","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Helping States Move Towards a Digital Quality System - NCQA<\/title>\n<meta name=\"description\" content=\"As health care systems evolve to support greater interoperability of electronic health care information, quality measurement must also evolve.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/helping-states-move-towards-a-digital-quality-system\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Helping States Move Towards a Digital Quality System - NCQA\" \/>\n<meta property=\"og:description\" content=\"As health care systems evolve to support greater interoperability of electronic health care information, quality measurement must also evolve.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ncqa.org\/helping-states-move-towards-a-digital-quality-system\/\" \/>\n<meta property=\"og:site_name\" content=\"NCQA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NCQA.org\" \/>\n<meta property=\"article:modified_time\" content=\"2025-12-02T21:38:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/04\/NCQA_cmyk_tag.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@NCQA\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ncqa.org\/helping-states-move-towards-a-digital-quality-system\/\",\"url\":\"https:\/\/www.ncqa.org\/helping-states-move-towards-a-digital-quality-system\/\",\"name\":\"Helping States Move Towards a Digital Quality System - NCQA\",\"isPartOf\":{\"@id\":\"https:\/\/www.ncqa.org\/#website\"},\"datePublished\":\"2024-08-14T19:58:58+00:00\",\"dateModified\":\"2025-12-02T21:38:07+00:00\",\"description\":\"As health care systems evolve to support greater interoperability of electronic health care information, quality measurement must also evolve.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ncqa.org\/helping-states-move-towards-a-digital-quality-system\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ncqa.org\/helping-states-move-towards-a-digital-quality-system\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ncqa.org\/helping-states-move-towards-a-digital-quality-system\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.ncqa.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Helping States Move Towards a Digital Quality System\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ncqa.org\/#website\",\"url\":\"https:\/\/www.ncqa.org\/\",\"name\":\"NCQA\",\"description\":\"Measuring quality. 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