CHA has submitted the attached comments to the Centers for Medicare & Medicaid Services (CMS) on hospital and vendor readiness to report certain clinical quality measures under the Hospital Inpatient Quality Reporting program using certified electronic health record (EHR) technology. Submitted in response to a CMS request for information, CHA’s letter raises concerns about the ability of hospitals to collect and report measures through an EHR when the vast majority of California’s hospitals have not met stage 1 “meaningful use” requirements and the accelerated timeline for implementing and revising measure specifications. CHA also urges CMS to use the Measures Application Partnership to bring the Office of the National Coordinator for Health Information Technology’s quality reporting efforts into better alignment with the Hospital Inpatient Quality Reporting Program.