Many quality reporting programs are being to shift to the use of electronic clinical quality measures (e-measures). There are good reasons and benefit for accelerating this shift and reducing the labor and effort associated with previous manual approaches. However, there are some potential unintended consequences to this shift. Healthcare providers must pay even more attention to reviewing the integrity of their clinical data. Failure to do so could result in inaccurate reporting and create financial risk. By tightly combing quality reporting efforts with strong data governance practices, however, healthcare organizations will not just survive, but also benefit from, the move to electronic quality measure reporting.