Clinical Quality Measure Reporting and Repository (CQMRR) – MiHIN
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Clinical Quality Measure Reporting and Repository (CQMRR)

Learn how you can “report once” and satisfy multiple quality reporting program needs


Clinical quality measures assess the quality of care provided to patients. Quality measures establish “thresholds” (standards of care) that define high-quality vs. low-quality care. Most measures have performance targets that physicians are required to achieve.

These measures are generated in a clinical setting, using specific patient information to help identify “gaps in care” – areas for improvement when treating patients for certain conditions.

For example, if a patient is diagnosed with diabetes, multiple quality measures can be used to determine whether the right treatment plan was implemented based on the patient’s specific test results. Additional types of quality measures help evaluate followup (regular tests, etc.) with patients or attempts to help patients overcome unhealthy behaviors such as smoking.

By helping identify and close gaps in care, quality measures can help transform healthcare to enable better care for patients, improve overall population health, and lower costs through process improvement.

Too Many Quality Measures?

Hundreds of clinical quality measures are used by multiple quality reporting programs to evaluate care practices. Unfortunately, many of these quality measures overlap, causing considerable reporting burdens on healthcare providers and health plans (payers). Very often, providers and payers must report the same quality measure multiple times to numerous different reporting programs.

Report Once – Removing Burdens from Providers and Payers

In Michigan, providers and payers are working together to establish a “report once” capability, allowing providers to send one quality measure file that can be used for multiple payers and multiple reporting programs.

MiHIN’s Quality Measure Information use case enables providers to send, find, receive, and use clinical quality measures electronically. The service also enables State Medicaid to receive electronic quality measures sent by Medicaid providers for reporting purposes.  Ultimately the service helps providers, payers, and state officials access and view electronic quality measures to drive quality-based improvements.

Now available to support submission to State of Michigan

In June 2016, the Michigan Department of Health and Human Services and State Medicaid began to allow clinical quality measures to be sent electronically through the Michigan Health Information Network’s Clinical Quality Measure Reporting and Repository service (CQMRR – pronounced “skimmer”).

This new service eases the burdens on healthcare providers and professionals by allowing them to send clinical quality measures directly from their electronic medical record systems.

If you are interested in learning how to submit clinical quality measures through the CQMRR service, please follow the instructions below:

  1. Determine if you want to submit QRDA Category 3 clinical quality measure files through your Health Information Exchange (HIE) or send the files directly to MiHIN via Direct Secure Message. If you have queestions about these options, please email
  2. Fill out the onboarding form and MiHIN onboarding team will reach out to start your onboarding process
  3. MiHIN will work with you to complete legal and technical onboarding process
  4. You will then use your Electronic Health Record system to create QRDA Category 3 files and send to the State of Michigan via MiHIN
    1. Submit via HIE participating organizations.
    2. Attach QRDA Category 3 file to Direct Secure Message, send directly to MiHIN

NOTE: You will no longer need to use CHAMPS to attest for Medicaid Meaningful Use credit

For general questions about sending quality measures/quality information, please send an email to

Ready to start the onboarding process? Fill out the CQMRR process initiation form located here.