; or (2) if the Secretary has submitted the report on alternative modernization strategies under section 536, select and pursue a strategy included in the report. C Reporting 531. Report on additional purposes If the Secretary determines any purpose to be appropriate pursuant to section 511(b)(10), not later than 30 days after the date of such determination, the Secretary shall submit to the appropriate congressional committees a report that includes a description of such purpose. 532. Reports on baseline of clinical workflows (a) Baseline Not later than 90 days after the date on which the Secretary establishes a baseline of clinical workflows pursuant to section 521(a)(3), the Secretary shall submit to the appropriate congressional committees a report that includes an identification of such baseline. (b) Standards Not later than 90 days after the date on which the Secretary establishes the national standards pursuant to section 521(d), the Secretary shall submit to the appropriate congressional committees a report that describes such standards. 533. Report on health care quality metrics Not later than 90 days after the date on which the Secretary establishes the health care quality metrics described in section 522(a), the Secretary shall submit to the appropriate congressional committees a report that includes an identification of such metrics. 534. Report on support strategy for existing sites (a) In general Not later than 180 days after the date of the enactment of this Act, the Secretary shall submit to the appropriate congressional committees a report on the strategy of the Department to enable each medical facility of the Department where the electronic health record system implemented pursuant to the Electronic Health Record Modernization Program is active as of the date of enactment of this Act to achieve full user adoption of the system and meet or exceed the operational levels of such medical center prior to implementing such system with respect to operational areas of the Department related to the