Home Research Research Library Primary Care Practices’ Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement Primary Care Practices’ Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement 2018 Author(s) Cohen, Deborah J, Dorr, D A, Knierim, K, DuBard, C Annette, Hemler, J R, Hall, J D, Marino, Miguel, Solberg, Leif I, McConnell, K J, Nichols, L M, Nease, D E, Edwards, S T, Wu, W Y, Pham-Singer, H, Kho, A N, Phillips, Robert L, Rasmussen, L V, Duffy, F D, and Balasubramanian, Bijal A Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT), Measurement, Payment, and Quality Of Care Volume 37(4):635-643 Source Health Affairs 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 (EHRs) generate. To determine whether EHRs 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 EHR, 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 EHR configuration beyond federal requirements. The current state of EHR measurement functionality may be insufficient to support federal initiatives that tie payment to clinical quality measures. ABFM Research Read all 2013 Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines Go to Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines 2018 Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network Go to Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network 2022 Family Practices in Transforming Clinical Practice Initiative Showed No Changes in Medicare Costs or Utilization Go to Family Practices in Transforming Clinical Practice Initiative Showed No Changes in Medicare Costs or Utilization 2016 Maintenance of Certification, Medicare Quality Reporting, and Quality of Diabetes Care Go to Maintenance of Certification, Medicare Quality Reporting, and Quality of Diabetes Care
Author(s) Cohen, Deborah J, Dorr, D A, Knierim, K, DuBard, C Annette, Hemler, J R, Hall, J D, Marino, Miguel, Solberg, Leif I, McConnell, K J, Nichols, L M, Nease, D E, Edwards, S T, Wu, W Y, Pham-Singer, H, Kho, A N, Phillips, Robert L, Rasmussen, L V, Duffy, F D, and Balasubramanian, Bijal A Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT), Measurement, Payment, and Quality Of Care Volume 37(4):635-643 Source Health Affairs
ABFM Research Read all 2013 Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines Go to Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines 2018 Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network Go to Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network 2022 Family Practices in Transforming Clinical Practice Initiative Showed No Changes in Medicare Costs or Utilization Go to Family Practices in Transforming Clinical Practice Initiative Showed No Changes in Medicare Costs or Utilization 2016 Maintenance of Certification, Medicare Quality Reporting, and Quality of Diabetes Care Go to Maintenance of Certification, Medicare Quality Reporting, and Quality of Diabetes Care
2013 Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines Go to Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines
2018 Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network Go to Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network
2022 Family Practices in Transforming Clinical Practice Initiative Showed No Changes in Medicare Costs or Utilization Go to Family Practices in Transforming Clinical Practice Initiative Showed No Changes in Medicare Costs or Utilization
2016 Maintenance of Certification, Medicare Quality Reporting, and Quality of Diabetes Care Go to Maintenance of Certification, Medicare Quality Reporting, and Quality of Diabetes Care
