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81. CHIPRA quality demonstration States help school-based health centers strengthen their medical home features | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight08.html
    June 01, 2014 - Investigating a model format for pediatric electronic health records (EHRs). … processes and their mastery of health information technology (IT), including electronic health records (EHRs … helped some New Mexico SBHCs transition to EHRs. … Practice facilitators also taught SBHCs how to use their EHRs for population management, such as identifying … practice facilitators to work with SBHCs on quality improvement projects, encouraging advanced use of EHRs

82. Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
    March 01, 2016 - places emphasis on developing comprehensive measure specifications for electronic health records (EHRs … The PCPI recognizes that EHRs are the state of the art for clinical encounters and is focusing significant … resources and expertise toward specifying and testing measures within EHRs, as they hold the promise … will align the PCPI with national initiatives that highlight the benefits and wealth of data that EHRs … As adoption of EHRs increases, utilization of this measure should also increase. 26

83. Episiotomy (Overuse): Report (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
    March 01, 2016 - places emphasis on developing comprehensive measure specifications for electronic health records (EHRs … The PCPI recognizes that EHRs are the state-of-the-art for clinical encounters and is focusing significant … resources and expertise toward specifying and testing measures to be included in EHRs, as they hold … align the PCPI with national initiatives that highlight the benefits and wealth of data that EHRs … As adoption of EHRs increases, utilization of this measure should also increase. Section 13.

84. Introducing Electronic Screening Tools for Developmental Delay and Autism into Pediatric Primary Care: Effects on Screening Documentation (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/Natzke-presentation.pdf
    December 01, 2015 - and Prevention (CDC) study (2008–2010) – Partially electronic method – Electronic health records (EHRs

85. Follow-Up Referral After Positive Developmental Screen (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
    January 01, 2014 - Follow-up Referral after Positive Developmental Screen measure in their electronic health records (EHRs … required to calculate this measure do not currently exist in structured data fields in CPQSC site EHRs … eMeasure Limitations The slow diffusion of EHRs in pediatrics provides a current limitation for the … EHRs were not designed with pediatric patients in mind, as they were modified from records designed … It was determined feasible to construct the measures in the EHRs of CHOP and in Ashe Pediatrics, one

86. Sexual Activity Status Among Adolescents (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-0087-fullreport.pdf
    October 01, 2016 - designed for health care provider-level reporting and has been tested in electronic health records (EHRs … However, EHRs may potentially promote confidentiality of data records, as reports pulled from EHRs can … EHR Limitations Field testing revealed that EHRs still inconsistently capture sexual activity status

87. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
    August 02, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) Introducing the AHRQ SOPS Health IT Patient Safety Supplemental Items Naomi Yount, PhD Westat Health IT Patient Safety Supplemental Items • Supplemental item set that can be added to the end of the Hospit…

88. Measure: Developmental Screening Follow-up: Follow-up with Patient Family After Developmental Screening (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_16-p001-1-ef.pdf
    April 01, 2016 - Advantages of the Measure ● This measure is specified for construction in electronic health records (EHRs

89. Follow-Up With Patient Family After Developmental Screening (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-202-fullreport.pdf
    January 01, 2014 - elements required to calculate this measure do not exist in structured data fields in this site's EHRs … eMeasure Limitations The slow diffusion of the use of EHRs in pediatrics provides a limitation for the … EHRs were not designed with pediatric patients in mind, as they were modified from records designed … As more pediatric practices are using EHRs, practices are beginning to customize their EHR systems in … It was determined feasible to construct the measure in the EHRs of the CHOP EHR and in Ashe Pediatrics

90. Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
    July 22, 2015 - Electronic Health Records Existing infrastructure, especially having EHRs in place, was identified … Solberg and colleagues identified the limitations of existing EHRs as a key barrier to practices in … The research team found that increased use of personal EHRs (an electronic application patients can … By the end, most had some EHRs in place. … regions 77% of practices had EHRs at time of evaluation Strategies implemented by more than

91. Developmental Screening and Follow-Up: Follow-Up Referral Tracking (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
    January 01, 2014 - is not possible to calculate this measure electronically using only structured data fields from the EHRs … eMeasure Limitations The slow diffusion of EHRs in pediatrics provides a current limitation for the … EHRs were not designed with pediatric patients in mind, as they were modified from records intended … As more pediatric practices are using EHRs, these practices are beginning to customize their EHR systems … It was determined feasible to construct the measure in the EHRs of CHOP and in Ashe Pediatrics (with

92. National Evaluation of the CHIPRA Quality Demonstration Grant Proram, Evaluation Highlights, Supplement to Issue 1 (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight01.pdf
    January 01, 2012 - Pediatrics’ Bright Futures well-child measures, measures derived from electronic health records (EHRs … System (GHS) and Children’s Hospital of Philadelphia (CHOP), to electronically extract data from EHRs

93. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
    July 25, 2018 - Gandhi, Slide 22 But once incentives started, particularly the adoption of EHRs in the ambulatory care … setting and EHRs in hospitals, really went up significantly. … But we're seeing now that EHRs are being identified as a source of burnout for our clinicians.

94. Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
    March 01, 2016 - failure and syndromic surveillance.7,8 The Affordable Care Act of 2010 further increased the need for EHRs … Some EHRs limit the variables that can be pulled into a patient list, thereby reducing the utility of … Health | Qualis Health | Page 8 of 21 Developing Patient Lists Directly out of the EHR Most EHRs … If the output can be exported to a spreadsheet, many EHRs have patient list features that are sufficiently

95. Measure: Initial Risk Assessment for Immobility-Related Pressure Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-1-ef.pdf
    May 01, 2016 - Advantages of the Measure(s) ● This measure is specified for construction in electronic health records (EHRs … sites documenting relevant clinical information in structured, queriable fields available in the EHRs

96. Understanding the Transformation Experiences of Small Practices With NCQA Medical Home Recognition (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-scholle.pdf
    April 01, 2015 - Practices with Level 3 recognition were more likely to have EHRs and to use measurement-based quality

97. Measure: Tobacco Use and Help with Quitting Among Adolescents (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1516-p003-ef.pdf
    March 01, 2016 - ● Is specified for use in electronic health records (EHRs).

98. Measure: Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-3-ef.pdf
    May 01, 2016 - Advantages of the Measure ● This measure is specified for construction in electronic health records (EHRs … sites documenting relevant clinical information in structured, queriable fields available in the EHRs

99. Measure: Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-2-ef.pdf
    May 01, 2016 - Advantages of the Measure ● This measure is specified for construction in electronic health records (EHRs … sites documenting relevant clinical information in structured, queriable fields available in the EHRs

100. Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
     January 01, 2016 - 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 … to organization-level) reports Slide 37 Lessons Learned Provider organizations that used EHRs … with advanced reporting capabilities were able to report more measures Programming EHRs to extract