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600 East Superior Street, Suite 404 I Duluth, MN 55802 I Ph. 800.997.6685 or 218.727.9390 I www.ruralcenter.org . Tying it All Together Using EMRs to Support Quality Improvement. Joe Wivoda CIO December 6, 2013. About The Center.
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600 East Superior Street, Suite 404 I Duluth, MN 55802 I Ph. 800.997.6685 or 218.727.9390 I www.ruralcenter.org
Tying it All Together
Using EMRs to Support Quality Improvement
December 6, 2013
The National Rural Health Resource Center is a nonprofit organization dedicated to sustaining and improving health care in rural communities. As the nation’s leading technical assistance and knowledge center in rural health, The Center focuses on five core areas:
I have worked in IT for 20 years, HIT for 15 years in various roles, including consultant, CIO, developer, and project manager
Where are these documented? Is that where the vendor EXPECTS them?
Source: NQF 0371 from National Quality Forum – http://www.qualityforum.org
Chaudhry B, et al. (2006). "Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care." Annals of Internal Medicine.
% of Patients Receiving Care
A significantly higher proportion of patients being treated by physicians with EHRs received care that aligns with accepted treatment standards *
Source: Cebul, R. D., M.D.; et al. (2011). Electronic Health Records and Quality of Diabetes Care. New England Journal of Medicine, 365:825-833. Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMsa1102519#t=article
* Even after adjusting for patient demographic characteristics and insurance type, differences remain significant; p<0.001
•<18 years of age•Patients who have a length of stay greater than 120 days•Patients enrolled in clinical trials•Discharged to another hospital•Expired •Left against medical advice•Discharged to home for hospice care•Discharged to a health care facility for hospice care•Patients with comfort measures only documented •Patients with a documented reason for no aspirin at discharge
Where is this documented? Is it discrete or in a note?
Is this discrete? Is this a sufficient indicator that aspirin is not advisable? Will the EHR look there when doing the report??
“Reason code” populates correct area of database so CQM will calculate correctly
National Quality Forum:
Hospital Compare Data Specifications (Search for Specifications Manual)
ONC’s Health IT Site
National Rural Health Resource Center