Electronic health records are not yet capable of routinely supporting reporting requirements under the hospital inpatient quality reporting program, AHA told the Centers for Medicare & Medicaid Services today. "The AHA strongly supports the goal of using EHRs to streamline quality reporting while increasing access to real-time information to improve care," wrote Linda Fishman, AHA senior vice president for public policy analysis and development. "However, hospitals will not be ready to routinely report clinical quality measures through EHRs until measure developers and vendors build electronic specifications and EHRs that support efficient generation of accurate and reliable quality data. Significant work is needed to improve regulatory and technical processes before CMS can rely on the data produced via EHRs in the IQR program." The letter responds to a CMS request for information concerning hospital and vendor readiness for EHRs to electronically report certain patient-level data under the IQR program. Among other recommendations, AHA said all CQMs should be reviewed and endorsed by the Measure Applications Partnership, and CMS should evaluate and report results of an electronic reporting pilot program so that the findings can inform stakeholders about successes and challenges.