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Abstract
Today, in spite of significant advancements that have been made in information technology and medicine, the U.S. health care system continues to struggle with achieving consensus and implementing standards for the delivery of clinical quality across the health care system. As a result the U.S. health care community continues to struggle with uniformly disseminating quality care across all patients. Challenges with quality of care are compounded by the high cost of care. One way to address the issues of high cost and varying quality was to implement legislation to help obtain better health information to support clinical care. To this end, the Centers for Medicare and Medicaid Services (CMS) have instituted a policy requiring Medicare providers to report on clinical quality. The primary goal of the study was to assess the accuracy of measure guidelines using electronic health record (EHR) data and to compute quality measures using an EHR-based algorithm and the NQF guidelines.