- Rural Midwest Health System -

Making eCQMs Matter
to Your Organization


How one Midwest hospital evolved from abstraction-only to full CMS reporting confidence

Starting in IT. Ending in Quality.

Like many hospitals, this rural Midwest facility began its eCQM journey in the IT department, with limited resources, competing priorities, and plenty of hesitation. But despite the complexity, their team saw the value in acting early.

“We started with abstraction-only. But once we brought in eCQMs, everything changed, we could finally use the data to improve care, not just report it.” — Director of Quality, Rural Midwest Hospital


They began with abstraction, using Medisolv’s ENCOR A solution to report chart-abstracted measures. But as CMS requirements evolved and electronic measures became more central to performance and reimbursement, they knew it was time to expand.

The Turning Point: Adding ENCOR EH

Once the hospital added ENCOR EH to manage eCQMs, hybrid measures, and PRO-PMs, their quality reporting strategy transformed. Medisolv’s support team worked hand-in-hand with their IT and quality leads to simplify data mapping, validate early, and stay ahead of CMS deadlines.

"We didn’t have to guess anymore. Medisolv helped us get the right data out of our EHR—and turn it into something we could use to improve care."

What began as a compliance requirement evolved into a collaborative, organization-wide quality initiative.

A Culture Shift Around Data

As the teams became more comfortable with eCQMs, attitudes changed. What used to be “just for reporting” evolved into something strategic.

“Our quality team isn’t just submitting measures anymore—they’re using the data with providers. We’re seeing performance improve because we’re actually acting on the data.”

The hospital has since adopted new voluntary CMS measures ahead of schedule and continues to invest in performance monitoring as a driver of care improvement.


  • CMS reporting was fragmented across abstraction and manual eCQMs

  • The IT team owned most of the compliance burden

  • eCQMs were underutilized and misunderstood

  • Abstraction and eCQMs managed in one unified solution

  • CMS submission is faster, easier, and more accurate

  • eCQMs now support internal improvement and clinical feedback

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