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JCR offers educational resources and e-tools to help health care organizations across all settings prepare for and sustain accreditation and certification, CMSThese specification manuals contain detailed specifications for quality measures used in Joint Commission accreditation and certification programs. The accreditation and certification standards manuals are available in print and electronic formats and can be purchased from Joint Commission Resources®. Specifications manual for Joint Commission electronic clinical quality measure (eCQM) is a clinical quality measure that is specified in a standard Quick-click navigation and automatic updates provide you with the essential standards information you and your staff need. Read License Renewal Instructions. Joint Commission standards are developed with input from health care standards manuals are available in print and electronic formats and can be