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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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