Study: Accuracy of Clinical Quality Measures from EHRs Varies Widely | Healthcare Informatics Magazine | Health IT | Information Technology 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.”

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

Industry Organizations Praise Senate Passage of VA Mission Act

The U.S. Senate on Wednesday passed, by a vote of 92-5, a major Veterans Affairs (VA) reform bill that includes health IT-related provisions to improve health data exchange between VA healthcare providers and community care providers.

NIH Issues Funding Announcement for All of Us Genomic Research Program

The National Institutes of Health’s (NIH) “All of Us” Research Program has issued a funding announcement for genome centers to generate genotype and whole genome sequence data from participants’ biosamples.

MGMA: Physician Compensation Data Illustrates Nationwide PCP Shortage

Primary care physicians’ compensation rose by more than 10 percent over the past five years, representing an increase which is nearly double that of specialty physicians’ compensation over the same period, according to the Medical Group Management Association (MGMA).

Circulation, Buoy Health Collaborate on Integrated Platform for Patient Transportation

Boston-based startup Circulation Health, a ride-ordering exchange that coordinates medical transportation logistics using Lyft and other transportation partners, is partnering with Buoy Health, also based in Boston, to integrate their platforms to provide patients with an end-to-end healthcare experience.

HITRUST Provides NIST Cybersecurity Framework Certification

The Health Information Trust Alliance (HITRUST), security and privacy standards development and accreditation organization, announced this week a certification program for the National Institute of Standards and Technology's (NIST) Cybersecurity Framework (Framework).

Report: Interoperability in NHS England Faces Similar Barriers as U.S. Healthcare

Electronic patient record interoperability in NHS England is benefiting patient care, but interoperability efforts are facing barriers, including limited data sharing and cumbersome processes falling outside of the clinician workflow, according to a KLAS Research report.