Skip to content Skip to navigation

NCQA, RWJF Create Analytics-Based Tool for Population Health

April 9, 2013
by Gabriel Perna
| Reprints

The National Committee for Quality Assurance (NCQA) and the Robert Wood Johnson Foundation (RWJF) are creating a tool that will aim to measure heart disease and stroke risk factors, drawing on clinical information within electronic health record (EHR) systems.

The measurement tool, the “Global Cardiovascular Risk” (GCVR) score, will be based on technology from Archimedes, Inc., a healthcare modeling and analytics company based in San Francisco. Using clinical data, NCQA and RWJF say they will be able to help providers reduce the risk of future adverse outcomes such as heart attacks, strokes, and diabetic complications for the populations they serve.

 “This new tool has the potential to become the first customized, outcomes-based electronic health record measure used by Medicare and commercial payers,” NCQA President Margaret E. O’Kane, said in a statement. “Its widespread adoption could have a profound impact on health care costs because it assesses how well providers engage in prevention and goal-setting for their high-risk patients. We believe it could become the new gold standard of quality measurement, replacing some traditional measures that have been the cornerstone of quality improvement for years.”

According to NCQA, the GCVR will measure how much patients’ risk of future adverse health outcomes have been reduced. This is in contrast to a traditional approach which has focused on processes of care, and reaching clinically artificial treatment goals for biomarkers. The GCVR is a single metric that captures what every provider can do to prevent adverse outcomes.

 “The GCVR program will change how providers, patients, and payers think about the measurement of quality and will provide much more accurate and effective incentives for preventing adverse outcomes than has been possible in the past,” David Eddy, M.D., Ph.D., founder of Archimedes Inc., said in a statement. “Preventing bad outcomes is the ultimate purpose of the health care system, and this measure will directly address that goal. And because bad outcomes cause expensive admissions, tests, and procedures, this new measure will be more effective in controlling costs, at the same time that it helps improve patients’ lives.”

NCQA will evaluate the feasibility of extracting the electronic health data needed to calculate the score using various pilot data from health systems and health plans across the country. It is now in the process of recruiting organizations to participate.

Topics

News

Survey: Most Digital Health Users Are Not Using EHRs to Manage Their Health

May 2, 2016
While 60 percent of consumers who use digital health tools say they have an electronic health record (EHR), only 22 percent of these patients are accessing EHRs to help make medical decisions, according to a survey by HealthMine.

GOP Senators Want Feds to Include Hospitals for MU Flexibility

May 2, 2016
Six GOP senators have written to federal officials to request feedback on legislation they drafted that would address the ongoing issues with implementation of the meaningful use program.

Last Day to Submit to the Healthcare Informatics 100

May 2, 2016
The Healthcare Informatics 100 has been up and running, but the submission process is ending today. Vendors, you only have one day to submit your data!

CHIME Calls for More Transparent, Uniform Interoperability Standards for Medical Devices

April 29, 2016
The College of Healthcare Information Management Executives (CHIME) is calling on the Food and Drug Administration (FDA) to collaborate with other federal agencies to ensure that medical devices are truly interoperable with electronic heath records (EHR) systems.

Survey: EHR Switches Resulted in Higher Than Expected Costs, Layoffs, Negative Impact on Healthcare Delivery

April 29, 2016
Four years after what market research firm Black Book calls the inpatient electronic health record (EHR) “replacement frenzy,” surveyed clinicians expressed many doubts about the benefits of switching systems.

Healthcare Informatics Recognized with Four ASHPE Awards

April 29, 2016
Healthcare Informatics has been recognized by the American Society for Healthcare Publication Editors (ASHPE) with four awards as part of the ASHPE’s 2016 Awards Competition.

Truven Health Analytics Identifies 15 Top Health Systems Based on Clinical, Administrative Performance

April 28, 2016
A study by Truven Health Analytics found that the top-performing multi-hospital health systems in the U.S. achieved higher survival rates and fewer errors at a lower overall treatment cost.

Report: Privilege Misuse and End User Errors Leading Threats to Healthcare Security

April 28, 2016
End users are often the weakest link in an organization’s cyber defense as cyber criminals exploit human nature to execute attack patterns such as phishing, according to Verizon Enterprise’s 2016 Data Breach Investigations Report.

Survey: Execs Optimistic on Future of Health IT

April 27, 2016
Healthcare executives support electronic health records (EHRs) and a move to even wider communication amongst technology systems in the future, according to a new survey from financial services firm CIT Group and Harris Poll.

House Introduces HHS Data Protection Act of 2016

April 27, 2016
Two House Energy and Commerce Committee members have introduced a bill that would reform the Department of Health and Human Services (HHS) to designate the HHS Chief Information Security Officer (CISO) as the primary authority on all matters of information security at the agency.

Practice Fusion Joins Federal Interoperability Pledge

April 26, 2016
Practice Fusion, the cloud-based electronic health record (EHR) vendor from San Francisco, has become the latest technology company to sign the interoperability pledge introduced by the Department of Health and Human Services (HHS) at HIMSS16 in Las Vegas earlier this year.

Hospital Safety Scores Report Indicates Avoidable Deaths Remain High

April 26, 2016
There is a 50 percent higher risk of avoidable death at a hospital that received a Hospital Safety Score of D or F compared to hospitals that have received A grades, according to the Leapfrog Group's newly updated hospital safety scores.

AHA Brief: Coverage for Telehealth Services Not Keeping Pace with Care Delivery Innovations

April 26, 2016
There is a growing body of evidence that telehealth can not only expand access to services but also create cost savings, yet limited coverage impedes the expansion of telehealth services, the American Hospital Association wrote in a recent brief on telemedicine.

Geisinger’s MyCode Genomic Study Hits Milestone of 100K Participants

April 26, 2016
Geisinger Health System, based in Danville, Pa., announced this week that it has signed up 100,000 recruits for its major biobank and DNA sequencing study known as the MyCode Community Health Initiative.

Survey: Docs Frustrated with Manual Prior Authorization Processes

April 26, 2016
A survey of more than 300 physicians, clinical and administrative staff, and electronic health record (EHR) vendors conducted by Surescripts, the Arlington, Va.-based operator of a national clinical electronic network, revealed that providers are growing frustrated with manual processes around prior authorization.

Pages