-
digital.ahrq.gov/sites/default/files/docs/activity/improving_quality_in_cancer_screening__the_excellence_report_for_colonoscopy_2010_pdf__2.pdf
January 01, 2010 - Summary Status as of: August 2010, Conclusion of Grant
Target Population: Adults, Cancer
Summary: Colorectal … Using the Clinical Outcomes Research Initiative (CORI) software application and the National Endoscopic … Many noted that insurance companies now want to see outcomes data.
-
digital.ahrq.gov/sites/default/files/docs/activity/using_electronic_data_to_improve_care_of_patients_with_known_or_suspected_cancer_2010_pdf__2.pdf
January 01, 2010 - observation indicates EHR-based trigger methods are
potentially useful to detect potential delays in colorectal
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/research
January 01, 2023 - J et al. 2005 "Development and initial testing of a computer-based patient decision aid to promote colorectal …
develops "a patient-directed, computer-based decision aid about colorectal cancer screening and investigate … Nease DE et al. 2008 "Impact of a generalizable reminder system on colorectal cancer screening in diverse … evaluates "whether a generalizable [computerized reminder system] could improve screening rates for [colorectal … Do on-screen computer reminders effectively improve processes or outcomes of care? 2.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs022583-phillips-final-report-2018.pdf
January 01, 2018 - study whether viewing quality measures and comparison to peers would
influence the degree of change in outcomes … and to simultaneously reduce reporting burden, we
wanted to test whether such efforts would improve outcomes … cessation) X X
0031 (breast cancer screening) X X X X
0032 (cervical cancer screening) X X X X
0034 (colorectal … 0.08) 0.71(0.16)
0032 (cervical cancer screening) 0.70(0.16) 0.73(0.21) 0.69(0.13) 0.73(0.19)
0034 (colorectal … 0.58(0.25)
0419 (current medication
documentation) 0.86(0.12) 0.95(0.03) 0.99(0.00) 0.66(0.57)
Outcomes
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
January 01, 2011 - Outcomes will be measured at
the patient level, and analyzed as described below in Outcomes and Analysis … These ACCORDs include 1) colorectal cancer screening and surveillance, 2) abnormal
radiology result … Colorectal cancer screening: Patients that are 50 to 69 years of age with no documented
colonoscopy … Colorectal cancer screening: Patients with a history of prior total colectomy.
b. … Outcomes and Analysis.
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015337-mingle-final-report-2008.pdf
January 01, 2008 - documentation for all three
indicators from the Interim to Final Review (mammogram: 21%; pap 16%; colorectal … Eligible diabetic patients with PAP smear
Colorectal Cancer Screening. … In
addition, evidence of colorectal cancer screening was found almost exclusively in the paper
record … Eligible diabetic patients with colorectal cancer screen
Allergy Screening. … Pay for Performance and Ambulatory Outcomes.
-
digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-qas-06152023.pdf
June 15, 2023 - Clinical Decision Support for Older Adults: Advancing Fall
Assessment and Prevention Patient-Centered Outcomes … Guidelines start getting interested when they see
an improvement in patient outcomes using the tool … The
importance of our trial is that we powered it for clinical outcomes, which is why we needed
nearly … Rather than saying “hey, should we actually start considering
individualized risks of things like colorectal
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs022955-thompson-final-report-2020.pdf
January 01, 2020 - Methods: In this study, 544 breast, prostate, and colorectal cancer survivors (AfAm: 55.5%; White: 44.5% … years or older, had received a diagnosis of either breast cancer (BrCa), prostate cancer
(PCa), or colorectal … Quality-of-life outcomes in men treated for localized prostate cancer. … Racial and Age Differences in Colon Examination Surveillance following a
Diagnosis of Colorectal Cancer … Reliability and validity of the Functional Assessment
of Cancer Therapy-Colorectal (FACT-C) quality
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017017-logan-final-report-2009.pdf
January 01, 2009 - and outcomes for gastrointestinal endoscopy, were used. … particular drug, device, test, treatment, or
other clinical service.
3
Final Report
Purpose
Colorectal … The US Multisociety Task Force on Colorectal Cancer and the American
Society for Gastrointestinal Endoscopy … It was implemented within the Clinical Outcomes
Research Initiative (CORI) national consortium. … Many noted that insurance companies now want
to see outcomes data.
-
digital.ahrq.gov/sites/default/files/docs/patient-clinician-communication-slides-121812.pdf
January 01, 2020 - Healthy People 2020 goal is to use
communication and HIT strategically:
– to improve health outcomes … Adult, English-speaking patients with a
recent diagnosis (within 6 months) of
Stage I-III breast or colorectal … Characteristics of 126 Cancer Patients n (%)
Cancer diagnosis Breast 94 (75%)
(Stage I-III) Colorectal … Talking Touchscreen (TT) is a practical,
user-friendly method for assessment of
patient-reported outcomes … Prescriptions*
High Cost
– $190 to $300 Billion/year**
High Consequence
– Poor chronic disease outcomes
-
digital.ahrq.gov/sites/default/files/docs/pbrns-improve-patient-care-slides-080613.pdf
August 06, 2013 - http://www.givetoteens.com
Methods
▪ Outcomes:
– Vaccination rates among unvaccinated girls for … patient, the health system,
and the intersection of the two and how an
intervention can best improve outcomes … )
▪ Layer 3: patient preferences
– Colorectal cancer screening: patient prefers Fecal Occult Blood … breast cancer screening using
mammography (from 27 to 51 percent)
▪ Increased documentation of colorectal … ▪ How did the amount of information
included in the AVS affect patient-
centered outcomes?
-
digital.ahrq.gov/sites/default/files/docs/AQAWebConfPresentation%20(1).pdf
July 01, 2010 - WAREHOUSE DATA FLOWS
MAeHC-level:
QDW
Brockton Newburypor
t
North
Adams
Community-level:
HIE
Outcomes … data
Limited data set with no
”facial” identifiers
Individual re-
identification as
necessary
Outcomes … Colorectal Cancer Screening
• 3. Cervical Cancer Screening
• 4. Tobacco Use #
• 5. … Clinical data “superset”
QUALITY DATA WAREHOUSE CHALLENGES
Brockton Newburypor
t
North
Adams
Outcomes
-
digital.ahrq.gov/sites/default/files/docs/resource/B7_Archives_Pohl_HS17034_1013_1.pdf
February 14, 2011 - anything that would influence EHR adoption/use)
Implementation Topics
Organizational system
Outcomes … Prior to the formal data analysis, clinicians will be compared on outcomes by demographic categories … b) What are the longitudinal patterns of clinician use of an EHR related to these outcomes? … had Mammogram
during the 24-month measurement period.
6
Percentage Aged
50+ Screened For
Colorectal … colectomy are excluded
Patients from the denominator who have undergone at least one
of the four Colorectal
-
digital.ahrq.gov/sites/default/files/docs/page/unlocking_quality_information__understanding_the_value_of_health_it_for_quality_measurement_and_improvement_5.pdf
April 26, 2010 - patients with CAD
• Smoking status/cessation counseling offered
• Obesity: BMI screening and follow-up
• Colorectal … Projects
• Continue current activities but focus on electronic
extraction of quality processes and outcomes … • Links meaningful use from a provider’s qualified
electronic health record to Medicaid quality outcomes … Asthma medication
Immunizations
Screening
Race/ethnicity, depression, SBIRT, adult BMI
referral
Colorectal … She also manages the CMS Neonatal Outcomes Improvement Project aimed to improve the
lives of children
-
digital.ahrq.gov/sites/default/files/docs/citation/assessingdynamicchroniccareimphndbk_120111comp.pdf
November 01, 2011 - warehouse and adding them into the comprehensive information system prior to this project,
such as the colorectal … Current colorectal screening status is now based off of
procedure codes for an endoscopy, laboratory … the quality of care in the same ways that have been realized with the successful
migration of the colorectal … Process Outcomes. … and Outcomes
Point-of-Care Reminders
Quantitative Outcomes
Qualitative Outcomes
Costs of the
-
digital.ahrq.gov/sites/default/files/docs/CDS%20to%20MonitorImprove%20PopHealth+Nov%2018_Final.pdf
January 01, 2018 - By diagnosis
By community
By age or gender
http://www.ihs.gov/index.asp�
See How Your Panel Meets Outcomes … http://www.ihs.gov/index.asp�
See How Well Individual Patients Meet
Outcomes
http://www.ihs.gov … facility users report data
http://www.ihs.gov/index.asp�
Some Measures
• Prevention
• Pap, Mammo,
Colorectal … Integrating CDS to Improve Population Health Outcomes: the Indian Health Service Experience
CDS and … See How Well Individual Patients Meet Outcomes
Clinical Reporting System
Some Measures
Facility
-
digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-evaluation-report.pdf
July 01, 2015 - to reward
physicians for adhering to evidence-based guidelines and attaining recommended clinical
outcomes … in the Quality Health First Program because of the standardized
measurement of medical quality and outcomes … Screening in Women
130,930
Cholesterol Mgmt for Patients with Cardiovascular Conditions
54,872
Colorectal … in the Quality Health First Program because of the standardized measurement of medical quality and outcomes … Control
71.95%
74.26%
0.82%
2.31%
3.22%
LDL-C Control
50.51%
51.51%
-0.49%
0.99%
1.96%
Colorectal
-
digital.ahrq.gov/sites/default/files/docs/page/AppendixB.pdf
February 01, 2012 - patients
and clinicians work together to achieve improvements in care quality and costs, and patient
outcomes … At one of the original centers, Erie Family Health Center, some
outcomes measures have improved since … implementation and the end of the grant,
measures for the percentage of people receiving appropriate
colorectal … annual goals for
a handful of quality indicators they view as important for patient
outcomes
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017067-kaushal-final-report-2011.pdf
January 01, 2011 - Principal Findings and Outcomes
We identified 17 metric sets for measuring ambulatory care quality, … NQF
§
18 Colorectal cancer screening by colonoscopy performed (Age 50-80). … Principal Findings and Outcomes
For Aim 3, we studied 1154 patients who were cared for by 106 providers … ranging from 2.2 percentage points (for asthma medication) to 33.1
16
percentage points (for colorectal … Tests that are done by specialists (e.g. colorectal
cancer screening) tended to have lower reliability
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024984-gray-final-report-2019.pdf
January 01, 2019 - debriefing session that
will as ask patients about the usability and usefulness of HOPE-Genomics, relevant outcomes … Clinical Oncology (ASCO) 2018 Annual
Meeting, and the Collaborative Group of the Americas on Inherited Colorectal