Bonnie, a tool designed to support streamlined and efficient pretesting of electronic clinical quality measures (eCQMs) used in Meaningful Use (MU), was updated to support new measure formats and logic constructs.
Version 1.1 of the Bonnie Clinical Quality Measure Testing Tool includes Health Quality Measures Format (HQMF) release 2.1 measure import; Measure Authoring Tool (MAT) SimpleXML measure import; support for QDM V4.1 constructs including variable assignments, inline comments, satisfies any/satisfies all operators; and new temporal operators.
According to the Office of the National Coordinator of Health IT (ONC), the introduction of HQMF R2.1 import allows loading measures represented in the updated version of the HQMF specification. The introduction of MAT SimpleXML measure imports allows the continued testing of measures in Bonnie while the MAT develops support for HQMF R2 export. The support for QDM V4.1 in Bonnie allows testing CQMs that take advantage of the latest QDM constructs and operators.
Bonnie can be used by measure developers as part of their development process to provide specific feedback on the behavior of the CQM logic, according to ONC. Additionally, vendors may see a benefit when testing measure implementation into EHRs either by using a test deck built by a measure developer, or since Bonnie is an open source tool, by building its own patient test deck.
Bonnie is co-sponsored by ONC and the Centers for Medicare & Medicaid Services and has been developed by MITRE.