1. Primary Care Practices' Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement.
- Author
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Cohen, Deborah J., Dorr, David A., Knierim, Kyle, DuBard, C. Annette, Hemler, Jennifer R., Hall, Jennifer D., Marino, Miguel, Solberg, Leif I., McConnell, K. John, Nichols, Len M., Nease Jr., Donald E., Edwards, Samuel T., Wu, Winfred Y., Pham-Singer, Hang, Kho, Abel N., Phillips Jr., Robert L., Rasmussen, Luke V., Duffy, F. Daniel, and Balasubramanian, Bijal A.
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DATABASE management , *LABOR incentives , *INFORMATION storage & retrieval systems , *MEDICAL databases , *INTERVIEWING , *RESEARCH methodology , *MEDICAL records , *PAY for performance , *PRIMARY health care , *QUALITY assurance , *RESEARCH funding , *SURVEYS , *MULTIPLE regression analysis , *DATA analysis software - Abstract
Federal value-based payment programs require primary care practices to conduct quality improvement activities, informed by the electronic reports on clinical quality measures that their electronic health records (ERs) generate. To determine whether ERs produce reports adequate to the task, we examined survey responses from 1,492 practices across twelve states, supplemented with qualitative data. Meaningful-use participation, which requires the use of a federally certified HER, was associated with the ability to generate reports--but the reports did not necessarily support quality improvement initiatives. Practices reported numerous challenges in generating adequate reports, such as difficulty manipulating and aligning measurement time frames with quality improvement needs, lack of functionality for generating reports on electronic clinical quality measures at different levels, discordance between clinical guidelines and measures available in reports, questionable data quality, and vendors that were unreceptive to changing HER configuration beyond federal requirements. The current state of HER measurement functionality may be insufficient to support federal initiatives that tie payment to clinical quality measures. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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