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Clinical Quality Measures from EHRs – Oregon experience. Adam Wilcox With help from David Dorr. Funding from: Aligning Forces for Quality grant from the Robert Wood Johnson Foundation, The John A. Hartford Foundation, and the National Library of Medicine. Background.

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Clinical quality measures from ehrs oregon experience

Clinical Quality Measures from EHRs – Oregon experience

Adam Wilcox

With help from David Dorr

Funding from: Aligning Forces for Quality grant from the Robert Wood Johnson Foundation,

The John A. Hartford Foundation, and the National Library of Medicine.


Background
Background

  • Claims-based measures (e.g., HEDIS) are well-defined but limited.

  • The EHR could provide efficient clinical quality measurement.

  • Quality measurement using an EHR can vary by 2% to 23% from clinical chart reviews.

  • Even with EHRs, <25% of clinics reported the ability

Baker DW, Annals, 2007 Commonwealth Fund


Background and setting
Background and Setting

  • In Oregon as part of a state-wide quality improvement project:

  • We selected a set of clinical quality measures by consensus

    • from standards – NQF-approved, Physician Consortium for Performance Improvement (PCPI) generated.

  • We needed to define these measures further by examining the vocabulary elements required and the EHR experience.


Study question
Study question

  • Is it Feasible for clinics to generate their own quality measures from the EHR?

  • … will it be Reliable across clinics?


Methods
Methods

  • We developed a survey that asked

    • Experience with EHR

    • Experience with clinical quality measurement (from AAFP version)

    • Specific experience and technique for internal generation of these quality measures

  • We electronically administered the survey to medical directors of clinics and organizations



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