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The Ability of Primary Care Practices to Measure and Report on Care Quality.
- Source :
-
Journal of the American Board of Family Medicine : JABFM [J Am Board Fam Med] 2024 Mar-Apr; Vol. 37 (2), pp. 316-320. - Publication Year :
- 2024
-
Abstract
- Background: Creating useful clinical quality measure (CQM) reports in a busy primary care practice is known to depend on the capability of the electronic health record (EHR). Two other domains may also contribute: supportive leadership to prioritize the work and commit the necessary resources, and individuals with the necessary health information technology (IT) skills to do so. Here we describe the results of an assessment of the above 3 domains and their associations with successful CQM reporting during an initiative to improve smaller primary care practices' cardiovascular disease CQMs.<br />Methods: The study took place within an AHRQ EvidenceNOW initiative of external support for smaller practices across Washington, Oregon and Idaho. Practice facilitators who provided this support completed an assessment of the 3 domains previously described for each of their assigned practices. Practices submitted 3 CQMs to the study team: appropriate aspirin prescribing, use of statins when indicated, blood pressure control, and tobacco screening/cessation.<br />Results: Practices with advanced EHR reporting capability were more likely to report 2 or more CQMs. Only one-third of practices were "advanced" in this domain, and this domain had the highest proportion of practices (39.1%) assessed as "basic." The presence of advanced leadership or advanced skills did not appreciably increase the proportion of practices that reported 2 or more CQMs.<br />Conclusions: Our findings support previous reports of limited EHR reporting capabilities within smaller practices but extend these findings by demonstrating that practices with advanced capabilities in this domain are more likely to produce CQM reports.<br />Competing Interests: Conflict of interest: None.<br /> (© Copyright 2024 by the American Board of Family Medicine.)
- Subjects :
- Humans
Oregon
Cardiovascular Diseases therapy
Cardiovascular Diseases diagnosis
Washington
Quality of Health Care
Hydroxymethylglutaryl-CoA Reductase Inhibitors therapeutic use
Idaho
Aspirin administration & dosage
Quality Indicators, Health Care
Quality Improvement
Smoking Cessation methods
Leadership
Primary Health Care standards
Primary Health Care organization & administration
Electronic Health Records statistics & numerical data
Electronic Health Records standards
Subjects
Details
- Language :
- English
- ISSN :
- 1558-7118
- Volume :
- 37
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of the American Board of Family Medicine : JABFM
- Publication Type :
- Academic Journal
- Accession number :
- 38740491
- Full Text :
- https://doi.org/10.3122/jabfm.2023.230116R1