Helen Burstin, MD, MPH
Potential Conflicts of Interest: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-2995.
Requests for Single Reprints: Helen Burstin, MD, MPH, National Quality Forum, 1030 15th Street Northwest, Washington, DC 20005; e-mail, firstname.lastname@example.org.
Burstin H. The Journey to Electronic Performance Measurement. Ann Intern Med. 2013;158:131-132. doi: 10.7326/0003-4819-158-2-201301150-00009
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Published: Ann Intern Med. 2013;158(2):131-132.
Electronic health records (EHRs) have been heralded as the panacea for improving the quality and consistency of care. Using data electronically captured during and across the continuum of care delivery to measure performance holds the potential for less burdensome, timelier reporting. This potential is not yet fully realized, but “meaningful use” incentives aim to move the nation to adopt EHRs that can support both performance measurement and quality improvement.
At the start of the journey to electronic measures, the focus has been on retooling existing measures designed for paper charts or claims data for EHRs. Ideally, we will move toward measures that take full advantage of the capacity of the EHR. The ability to capture high-quality clinical data from EHRs should improve measurement. The use of diagnoses from a problem list, rather than from billing data, should increase the reliable identification of the target population. Electronic health records should support actionable real-time information for improvement. Interoperable systems should allow us to track patients across sites of care. They should also provide portals for patients to self-report medication use, outcomes, and experience.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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