Health centers across the country have a high EHR adoption rate and most have been using an EHR for several years. However, we know that the proliferation of EHRs and their companion reports have not always lead to accurate and robust data that can be used for quality improvement. Many challenges have been identified, including provider workflow and training issues, challenges with scalability, and limitations to data that can be extracted from various EHR systems. In response, a need has been identified for tools and resources that can guide health centers and those working with health centers through some key skill areas in the pursuit of Health IT Enabled QI.