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www.cahps.ahrq.gov/evidencenow/projects/heart-health/index.html
March 01, 2024 - Primary care practices are incredibly creative, dedicated, and resilient, even with problematic EHRs … EHRs often do not provide primary care practices with access to the data they need to improve care quality … provide timely feedback data to primary care practices to drive QI, given the limitations of current EHRs
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www.cahps.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/oklahoma.html
March 01, 2021 - Information technology support to help practices make more effective use of their electronic health records (EHRs … obtain ABCS data from the State’s HIEO and supplement them with measures generated by the practices' EHRs … However, the Cooperative found that certified EHRs often don't have the necessary capability to document … anticipated and the measures from the HIEO sometimes differ substantially from those generated by the EHRs … The challenges faced by the Oklahoma Cooperative in working with EHRs and the HIEO highlight the importance
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www.cahps.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
February 21, 2016 - systems have not yet developed the
infrastructure needed to support data transfer from providers’ EHRs … Furthermore, incomplete or inconsistent documentation in EHRs and
paper charts means that practices … , State-hired
practice facilitators helped practices run
supplemental reports directly from their EHRs … yielded the following insights:
• Developing effective communication pathways between practices’
EHRs … When these challenges can be overcome, SBHCs find
it easier to collect and report data from their EHRs
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www.cahps.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
March 01, 2023 - Other projects explore the challenges and opportunities that electronic health records (EHRs) present … These efforts aim to leverage the vast amounts of data stored in EHRs, and the potential to improve the … display of the information in EHRs, to facilitate diagnosis.
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www.cahps.ahrq.gov/evidencenow/projects/heart-health/research-results/research/methods/index.html
March 01, 2021 - Cooperatives and practices used EHRs to extract ABCS clinical quality measures data to answer the initiative … Regional EvidenceNOW cooperatives also supported practices to improve how providers input data into their EHRs … developed resources for practice facilitators to support practice-based models of generating reports using EHRs … Because of the challenges in generating trustworthy and credible reports from EHRs, some cooperatives
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www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight01.html
March 01, 2019 - Investigating a model format for pediatric electronic health records (EHRs). … system that rewards pediatric practices in seven health systems for extracting quality measures from EHRs … To pull information from EHRs, a few States are attempting to map the measure specifications to discrete … "
— Massachusetts CHIPRA Quality Demonstration Progress Report, February 1, 2012
First, EHRs store … Provide support to practices that have recently adopted EHRs or changed their EHR vendor or product so
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01.pdf
September 30, 2015 - • Investigating a model format for pediatric
electronic health records (EHRs). … Outdated or underdeveloped claims systems, health information exchanges,
and electronic health records (EHRs … health systems for extracting and reporting eight of the Initial Core Set
of quality measures from EHRs … even though data collection can be
burdensome for practices that do not
have robust experience with EHRs … • Provide support to practices that
have recently adopted EHRs or
changed their EHR vendor or
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
February 21, 2016 - systems have not yet developed the
infrastructure needed to support data transfer from providers’ EHRs … Furthermore, incomplete or inconsistent documentation in EHRs and
paper charts means that practices … , State-hired
practice facilitators helped practices run
supplemental reports directly from their EHRs … yielded the following insights:
• Developing effective communication pathways between practices’
EHRs … When these challenges can be overcome, SBHCs find
it easier to collect and report data from their EHRs
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-south-carolina-state-snapshot.pdf
January 01, 2018 - • Using electronic health records (EHRs) to calculate and report
quality measures for practices in … infrastructure
and functionality needed to record and transfer pediatric
data from the practices’ EHRs … The diversity of
and the necessary modifications to the practices’ EHRs and
their ongoing upgrades … needed to transfer data from EHRs to the State, and data
consistency and completeness.
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www.cahps.ahrq.gov/policymakers/chipra/demoeval/demostates/me.html
March 01, 2019 - testing the collection and reporting of the measures using clinical data from electronic health records (EHRs … providing these practices tools to support integrating Bright Futures screening information into their EHRs … How did Maine integrate data on EPSDT services into pediatric EHRs?
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www.cahps.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
February 21, 2016 - Strategies included involving practices in data collection (via manual extraction of
data from EHRs … or charts) and developing workarounds with their EHRs. … The diversity of EHRs used by practices and the amount of modifications needed
to those EHRs further … • Practice staff often needed training and TA to effectively use their EHRs. … Comparing the Children’s EHR Format with existing EHRs was challenging but
valuable.
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www.cahps.ahrq.gov/policymakers/chipra/ehrformatfaq.html
October 01, 2014 - The Format is intended to describe EHRs that will meet the needs of health care providers who treat children
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/863.html
May 01, 2023 - majority of diagnostic errors are at least partially caused by problems with electronic health records (EHRs … Of 199 diagnosis-related claims, EHRs were considered a potential contributor to diagnostic errors in … The authors concluded that the study findings illustrated the central role of EHRs for supporting the
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-Episiotomy-FactSheet.pdf
November 01, 2015 - the Measure
This measure is specified to be calculated using data from electronic health records (EHRs … ● Use of the measure is limited to sites that use EHRs for their medical records.
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www.cahps.ahrq.gov/policymakers/chipra/demoeval/demostates/nc.html
March 01, 2019 - stakeholders and pilot the extraction of data by providers and practices from existing or newly deployed EHRs … addressing gaps in current EHR products for children; (2) capability to improve utility and functionality of EHRs
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/wvstateataglance.pdf
March 01, 2012 - It will
encourage meaningful use of electronic health records (EHRs) and personal health records (PHRs … medical home model of care
delivery, making practice changes, quality measurement, and using existing EHRs
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/flstateataglance.pdf
March 01, 2012 - category, activities will be statewide, with a long‐
term goal of linking providers to HIE through their EHRs … How many and what type of providers have access to the HIE through their EHRs?
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-on-quality_measure-use.pdf
September 21, 2015 - Administrative data (Medicaid claims, immunization registries)
• Practice data (manual chart reviews, EHRs … claims processing
• Infrequent reporting periods
– Helping practices run reports from their charts or EHRs … addition to organization-level) reports
33 33
Lessons Learned
• Provider organizations using EHRs … with advanced reporting
capabiltities were able to report more measures
– Programming EHRs to extract
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-north-carolina-state-snapshot.pdf
January 01, 2018 - only to help practice-level QI teams run
and use data reports from their electronic health records
(EHRs … The State—
• Helped more than 25 practices use their EHRs more
effectively. … helped
practices access tools that enabled direct entry of data
from screening questionnaires into EHRs … demonstration staff
developed specifications to guide vendors in making
modifications to their existing EHRs
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/ncstateataglance.pdf
March 01, 2012 - stakeholders and pilot the extraction of data by providers and
practices from existing or newly deployed EHRs … gaps in current EHR products for children; (2) capability to
improve utility and functionality of EHRs