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21. EvidenceNOW: A Model for Heart Health and Beyond (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-story.pdf
    September 01, 2021 -  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 … provide timely feedback data to primary care practices to drive QI, given the limitations of current EHRs

22. State at a Glance: Pennsylvania | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/policymakers/chipra/demoeval/demostates/pa.html
    March 01, 2019 - core set of children's quality measures to report directly from patients' electronic health records (EHRs … All seven of Pennsylvania's participating health systems 1 are reporting from EHRs some or all of selected … report the measures, all of the CHIPRA grantee health systems examined the availability of data in their EHRs … their specific clinical goals and will focus on implementing those requirements into their existing EHRs

23. Reporting and using the Child Core Set of quality measures | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
    September 01, 2015 - health 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 first … availability of administrative data on behavioral health services and clinical data from practices’ EHRs … response, State-hired practice facilitators helped practices run supplemental reports directly from their EHRs

24. Key Driver 3: Optimize Health Information Systems to Extract Data and Support Use of Evidence in Practice | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/evidencenow/tools/keydrivers/optimize-health-it.html
    November 01, 2018 - Responsibilities can include making changes to documentation in EHRs, developing auditing tools, designing … EHRs are nearly universal in primary care practices, yet their potential to be catalysts for the use … However, some EHRs are better at supporting QI and QI measurement than others. … Maximizing the use of EHRs to attain actionable data may require working closely with the EHR vendor.

25. Key Themes Across Grants | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/themes.html
    October 01, 2015 - and demonstration projects, which practices used to improve clinic infrastructure (e.g., to implement EHRs … upon years of previous practice improvement, including quality improvement efforts, the adoption of EHRs … Electronic Health Records Existing infrastructure, especially having EHRs in place, was identified … significant resource burden. 29 Cooley and colleagues found that, because of limited capabilities, EHRs … develop care plans and were close to using them for reporting purposes, none had yet been able to use EHRs

26. Advancing Heart Health | Agency for Healthcare Research and Quality
    www.talkingquality.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

27. EvidenceNOW: Oklahoma Cooperative | Agency for Healthcare Research and Quality
    www.talkingquality.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

28. EvidenceNow Executive Summary - Oklahoma Cooperative (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
    November 01, 2017 - 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

29. Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
    www.talkingquality.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

30. In the Spirit of Patient Safety Awareness Week, AHRQ Sharpens Its Focus on Diagnostic Safety | Agency for Healthcare Research and Quality
    www.talkingquality.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.

31. Key Themes Across Grants | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/ncepcr/reports/grants-transform/key-themes.html
    March 01, 2017 - and demonstration projects, which practices used to improve clinic infrastructure (e.g., to implement EHRs … upon years of previous practice improvement, including quality improvement efforts, the adoption of EHRs … Electronic Health Records Existing infrastructure, especially having EHRs in place, was identified … significant resource burden. 29 Cooley and colleagues found that, because of limited capabilities, EHRs … develop care plans and were close to using them for reporting purposes, none had yet been able to use EHRs

32. Methods and Measures | Agency for Healthcare Research and Quality
    www.talkingquality.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

33. How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning? | Agency for Healthcare Research and Quality
    www.talkingquality.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

34. National Evaluation of the CHIPRA Quality Demonstration Program: Evaluation Highlight No.1 (pdf file)
    www.talkingquality.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

35. Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
    www.talkingquality.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

36. Spotlight on South Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
    www.talkingquality.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.

37. EvidenceNow Practice Survey Codebook: EHR (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-ehr.pdf
    August 23, 2018 - EvidenceNow Practice Survey Codebook: EHR EvidenceNow Practice Survey Codebook: EHR Variable Name/ Core- optional Status Item These questions ask ab…

38. State at a Glance: Maine | Agency for Healthcare Research and Quality
    www.talkingquality.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?

39. National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report (pdf file)
    www.talkingquality.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.

40. Appendix A. Key Characteristics of Transforming Primary Care Grants | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/appa.html
    October 01, 2015 - Health Care Transformation Among Small Urban Practices Serving the Underserved 21% of practices had EHRs … By the end, most had some EHRs in place. … Transformation Experiences of Small Practices With NCQA's Medical Home Recognition 77% of practices had EHRs … Leif Solberg, MN; TransforMN Study All practices had EHRs in place Continuous access and communication … Abbreviations: EHRs = electronic health records; QI= quality improvement; NCQA = National Committee for