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Home Research Research Library Clinical Quality Measure Exchange is Not Easy Clinical Quality Measure Exchange is Not Easy 2021 Author(s) Phillips, Robert L, Peterson, Lars E, Palen, TE, Fields, SA, Parchman, ML, Johannides, John, and Johannides, John Topic(s) Family Medicine Certification Volume in press: Source Annals of Family Medicine PURPOSE The Trial of Aggregate Data Exchange for Maintenance of Certification and Raising Quality was a randomized controlled trial which first had to test whether quality reporting could be a by-product of clinical care. We report on the initial descriptive study of the capacity for and quality of exchange of whole-panel, standardized quality measures from health systems. METHODS Family physicians were recruited from 4 health systems with mature quality measurement programs and agreed to submit standardized, physician-level quality measures for consenting physicians. Identified measure or transfer errors were captured and evaluated for root-cause problems. RESULTS The health systems varied considerably by patient demographics and payer mix. From the 4 systems, 256 family physicians elected to participate. Of 19 measures negotiated for use, 5 were used by all systems. There were more than 15 types of identified errors including breaks in data delivery, changes in measures, and nonsensical measure results. Only 1 system had no identified errors. CONCLUSIONS The secure transfer of standardized, physician-level quality measures from 4 health systems with mature measure processes proved difficult. There were many errors that required human intervention and manual repair, precluding full automation. This study reconfirms an important problem, namely, that despite widespread health information technology adoption and federal meaningful use policies, we remain far from goals to make clinical quality reporting a reliable by-product of care. Read More ABFM Research Read all 2012 Communities of solution: the Folsom Report revisited Go to Communities of solution: the Folsom Report revisited 2011 Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass? Go to Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass? 2022 Measuring Graduate Medical Education Outcomes to Honor the Social Contract Go to Measuring Graduate Medical Education Outcomes to Honor the Social Contract 2014 Community size and organization of practice predict family physician recertification success Go to Community size and organization of practice predict family physician recertification success
Author(s) Phillips, Robert L, Peterson, Lars E, Palen, TE, Fields, SA, Parchman, ML, Johannides, John, and Johannides, John Topic(s) Family Medicine Certification Volume in press: Source Annals of Family Medicine
ABFM Research Read all 2012 Communities of solution: the Folsom Report revisited Go to Communities of solution: the Folsom Report revisited 2011 Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass? Go to Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass? 2022 Measuring Graduate Medical Education Outcomes to Honor the Social Contract Go to Measuring Graduate Medical Education Outcomes to Honor the Social Contract 2014 Community size and organization of practice predict family physician recertification success Go to Community size and organization of practice predict family physician recertification success
2012 Communities of solution: the Folsom Report revisited Go to Communities of solution: the Folsom Report revisited
2011 Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass? Go to Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass?
2022 Measuring Graduate Medical Education Outcomes to Honor the Social Contract Go to Measuring Graduate Medical Education Outcomes to Honor the Social Contract
2014 Community size and organization of practice predict family physician recertification success Go to Community size and organization of practice predict family physician recertification success