Reporting electronic clinical quality measures in Stage 1 of the electronic health records meaningful use program was in a way like a pilot program, says Julia Skapik, M.D., a medical officer at the Office of the National Coordinator for Health Information Technology.

eCQMs started with recording smoking status and other basic data such as labs and medications, she notes. But Stage 2 will push the boundaries to standardize collection of demographic information, and incorporate a degree of clinical decision support as well as health information exchange.

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