Skip to content Skip to navigation

Study: Accuracy of Clinical Quality Measures from EHRs Varies Widely

January 15, 2013
by Gabriel Perna
| Reprints

According to a study from researchers at New York-based Weill Cornell Medical College, the accuracy of clinical quality measures (CQMs) from electronic health records (EHRs) can vary widely. The researchers of the study say electronic reporting can both underestimate and overestimate quality.

For the study, which appears in the latest issue of the Annals of Internal Medicine, researchers looked at how EHRs could help providers report CQMs, as per Meaningful use of EHRs under the government’s Health Information Technology for Economic and Clinical Health (HITECH)Act. Providers who don’t document and report CQMs electronically by 2015 will face penalties, however, the researchers say the process isn’t quite right.

"This study reveals how challenging it is to measure quality in an electronic era. Many measures are accurate, but some need refinement," stated the study's senior author, Rainu Kaushal, M.D., director of the Center for Healthcare Informatics Policy, chief of the Division of Quality and Medical Informatics and the Frances and John L. Loeb Professor of Medical Informatics at Weill Cornell.  

"Getting electronic quality measurement right is critically important to ensure that we are accurately measuring and incentivizing high performance by physicians so that we ultimately deliver the highest possible quality of care. Many efforts to do this are underway across the country," he added.

Dr. Kaushal and his colleagues looked atclinical data from the EHRs of one of the largest community health center networks in New York. They looked at how accurate the electronic reporting was for 12 quality measures, 11 of which are included in the federal government's set of measures for incentives. While nine measures were consistent, three (patients receiving prescriptions for asthma, receiving vaccinations to protect from bacterial pneumonia, and patients with diabetes had cholesterol under control) were not.

Lisa Kern, M.D., the study’s lead investigator and general internist and associate director for research at the Center for Healthcare Informatics at Weill Cornell, said this variation shows there is a need to “test and iteratively refine traditional quality measures so that they are suited to the documentation patterns in EHRs.”

Topics

News

Multiple Myeloma Research Foundation Contributes to Genomic Data Commons

September 28, 2016
The National Cancer Institute announced Sept 28 that the Multiple Myeloma Research Foundation has become the first nonprofit organization to donate genomic and clinical data to NCI’s Genomic Data Commons.

Uber, Circulation Collaborate on Hospital Pilot Program for Patient Transportation

September 28, 2016
Boston-based startup Circulation, as Uber’s preferred healthcare platform partner, is launching a digital healthcare transportation platform as a pilot program at several East Coast acute care and children’s hospitals.

Seven Healthcare Organizations Awarded HHS Funding to Advance Common Standards

September 28, 2016
The U.S. Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology (ONC) announced seven recipients of two funding opportunities with the aim of improving the flow of health information.

Public-Private Health IT Partnership in Vermont Improving Care Coordination

September 28, 2016
Six months since go-live on a patient notification technology platform in the state of Vermont, more than 400 provider sites across New England have been notified that their patients have been seen at Vermont hospitals.

Survey: Healthcare Reform, IT Burdens Play Key Role in Reduced Physician Morale

September 27, 2016
Across the U.S., physician morale is down, with leading contributors including regulatory/paperwork burden, dissatisfaction with electronic health records (EHRs), and doubts about the future of healthcare reform.

Study: Patient Identification Errors Can Pose a Serious Risk to Patient Safety

September 27, 2016
While most patient identification errors are caught before patients are harmed, some wrong-patient events are fatal and many have the potential to cause harm. Technology, such as bar coding, can help to prevent these errors, according to an ECRI Institute report.

Randy McCleese Wins CHIME Federal Public Policy Award for CIO Leadership

September 27, 2016
Randy McCleese, vice president of information services and CIO at St. Claire Regional Medical Center in Morehead, Ky., has been recognized as the winner of the College of Healthcare Information Management Executive’s (CHIME) Federal Public Policy Award for CIO Leadership.

USC’s Keck Medical Center Reports Ransomware Attack

September 26, 2016
The Los Angeles-based Keck Medical Center, part of the University of Southern California, has confirmed that two if its servers were hit with ransomware last month, leading to encrypted files that employees could not access.

Department of Justice Awards $8.8 Million in Grant Funding for PDMPs

September 26, 2016
In efforts to help states reduce prescription drug abuse and misuse, the U.S. Department of Justice announced it is providing close to $9 million in grants to 19 state states to help create, implement and enhance prescription drug monitoring programs (PDMPs).

Federal Leaders Release New Tools to Help Providers Better Leverage Health IT

September 26, 2016
President Barack Obama issued a message on Sept. 26 to kick off National Health IT Week, expressing optimism for where the industry stands today as well as hope for “reaching for the next frontier of innovation.”

Care New England Health System Will Pay $400,000 Settlement for Potential HIPAA Violations

September 26, 2016
Providence, R.I.-based Care New England Health System has agreed to pay $400,000 to settle potential HIPAA Privacy and Security Rules violations, stemming from a 2012 data breach at Woman and Infants Hospital of Rhode Island.

AMA Survey: Docs Bullish on Efficient Digital Health Tools

September 26, 2016
While overall physician optimism towards digital health is present across all ages, health IT tools need to be beneficial to clinical practice and not a burden, according to an American Medical Association (AMA) survey on digital health.

Survey: Cloud Technologies Helping Healthcare Organizations Improve Productivity, Efficiency

September 23, 2016
Ninety-five percent of current healthcare organization cloud infrastructure users are planning to increase their usage going forward, and among healthcare organizations not using cloud today, 58 percent of respondents said they are likely to do so in the next two years.

Study Finds Wide Variability in Effectiveness of CPOE Tools in Pediatric Hospitals

September 23, 2016
Researchers investigating the safety of CPOE systems at pediatric inpatient facilities found that while systems on average are able to intercept a majority of potential medication errors, their effectiveness varied widely among implementations.

Saint Francis Health System Acknowledges Breach, but Doesn’t Pay Ransom

September 22, 2016
Despite acknowledging that it had been the victim of a data breach involving ransomware earlier this month, the Tulsa, Okla.-based Saint Francis Health System decided not to act on the ransom demand, according to media reports.

Pages