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digital.ahrq.gov/sites/default/files/docs/integrating-pros-into-practice-slides-02272024.pdf
February 27, 2024 - 21
Chapter 2: RA Measures
2 RA Measures
Choosing RA measures to use in your practice
Both disease … 4 Workflows for RA Measures
How to Develop Efficient Workflows for RA Measures
In this section of … RA Outcome Measure Collection Workflow (Telehealth Visits)
RA Outcome Measure Collection Workflow (In-Person … Rheumatoid Arthrits Outcome Measures Collection: MA Training Guide
Rheumatoid Arthritis Outcome Measures … Activity Quality Measure Improving
Performance on RA Functional Status PRO Quality Measure Improving
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/balanced-scorecard
January 01, 2023 - When determining how to measure and monitor improvement efforts, during either an initial trial or standardization … For each perspective, CHOOSE AT MOST FIVE MEASURES to indicate progress toward achieving the organization … For each measure, CHOOSE AMBITIOUS TARGETS. … Disadvantages
May be difficult to develop measures for each of the necessary four perspectives. … Evidence-based practice manual: research and outcome measures in health and human services.
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digital.ahrq.gov/sites/default/files/docs/page/implementation-and-evaluation-of-electronic-standing-orders-in-primary-care.pdf
June 02, 2010 - 12
Quantitative Methods
Data Collection
- Quarterly EHR extract
Analyses
-Presence of study measure … on HM template
-Entry on HM template for study measure
-Percent of patients up to date with each … study
measure
-Pre and post-intervention comparison of summary
measure 13
PPRNet-TRIP Improvement … Template (example)
Patient Letter Template
22
23
Process: Median Percent of Eligible Pts with Measure … able to successfully adopt the SO
protocol and demonstrated meaningful improvement
on the summary measure
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digital.ahrq.gov/sites/default/files/docs/page/evaluating_health_it_projects___a_primer_for_medicaid_and_schip_5.pdf
June 02, 2008 - Clinical Outcomes Measure
Clinical Processes Measures
Provider Adoption and Attitudes Measures … Patient Knowledge and Attitudes
Measures
Workflow Impact Measures
Financial Impact Measures … Ensure that the metrics you choose to
measure will actually be impacted by your
project. … Determine which metrics are most
important to measure
Look to your goals yet again-which measures … For each measure consider the following:
How will you design your study?
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digital.ahrq.gov/ahrq-funded-projects/automating-assessment-obesity-care-quality/annual-summary/2010
January 01, 2010 - Percent change in body weight was selected as the primary outcome measure. … )
2010 Activities: The study team developed a working draft of the Obesity Care Quality (OCQ) Measure … Nine distinct measures of obesity care quality, including criteria for qualification and measurement. … Although the working draft of the OCQ Measure Set will be revised as needed, the associated aim was considered … The team updated their data extraction process and, with a working draft of the OCQ Measure Set developed
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digital.ahrq.gov/ahrq-funded-projects/partnership-clinician-electronic-health-record-ehr-use-and-quality-care/annual-summary/2011
January 01, 2011 - Project attempts to measure the depth and quality of EHR use by individual clinicians, and thus measure … The project employed proxy measures that reduced accuracy. … This template did not support the clinical workflow of hypertension management and was not a fair measure … Nevertheless, the validity of the note use measure was supported by a significant correlation to self-reported … The project did measure use of the evaluation and management coding advisor, a tool that validates coding
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-cancer-screening-excellence-report-colonoscopy/annual-summary/2010
January 01, 2010 - , and present this as monthly feedback to the ambulatory care providers of CORI. ( Achieved )
Measure … of change for each quality measure was not always towards improvement. … The data consisted of summary data (proportion of exams that met the quality measure) on a per endoscopist … The sites with ASC accreditation tended to be more motivated to measure quality because of certification … Value of Measures and Reports.
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-orders-entered-using-cpoe-quick-reference-guide.pdf
February 01, 2009 - Using CPOE
Monitoring who uses computerized provider order
entry (CPOE) allows organizations to measure … Measure Category: Provider Adoption and
Attitudes
Quality Domain: Patient Safety
Current Findings … Recent work by Sittig and colleagues8,9 has
addressed the lack of easily accessible measures and
the … need for establishing reliable benchmarks to help
organizations more effectively measure and monitor … This measure is
relatively easy to measure and welldefined.8,9
Source of Data for the Measure: CPOE
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digital.ahrq.gov/sites/default/files/docs/page/Nemeth_SuccessStory.pdf
May 02, 2014 - and performance on the study measures for each practice. … HM template divided by the number of
patients eligible for the measure. … which counted each
lipid measure independently. … Many of the practices took an incremental
approach to implementing a set of measures at first and added … Additional
work is also needed to identify which clinical measures are best suited for inclusion in
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digital.ahrq.gov/sites/default/files/docs/activity/automating_assessment_of_obesity_care_quality_2010_pdf__2.pdf
January 01, 2010 - Percent change in body weight was selected as the primary outcome measure. … (Ongoing)
• Evaluate the association between measures of obesity guideline adherence to recommended … Upcoming)
2010 Activities: The study team developed a working draft of the Obesity Care Quality (OCQ) Measure … Although the working draft of the OCQ Measure Set will be revised as needed, the associated aim was … The team updated their data extraction process and, with a working draft of the
OCQ Measure Set developed
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017037-ornstein-final-report-2010.pdf
January 01, 2010 - 12 primary care physicians provided iterative feedback to the
research team on the content of the measure … The purpose of the first meeting was to introduce the final MS-TRIP measure set, review initial
audit … Results
Medication safety measure development
The medication safety measure set resulting from the … Performance for 3 measure categories improved significantly (P <
8
0.05 for the trend): … The measure set we developed encompasses both
medications and aspects of the prescribing process commonly
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists
January 01, 2023 - This project used three approaches to measure the impact of electronic prescribing (e-prescribing) on … The specific aims of the study were to:
Measure the effects on medication errors of transitioning … Measure the effects on human-computer interactions of transitioning from one e-prescribing system to
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digital.ahrq.gov/ahrq-funded-projects/patient-readiness-use-internet-health-resources/annual-summary/2011
January 01, 2011 - To help examine the question of patient readiness, the project team is developing a practical measure … Specific Aims:
Develop a measure of the readiness (aptitude and desire) of patients with chronic … This measure will be called the Electronic Health Information Exchange Readiness Scale (E-HIERS). … frequency and type of use of Web-based health resources are associated with improvements in clinical measures … These results were used to inform development of the scale to measure patient readiness to use Internet
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017191_pohl_pdf_3.pdf
January 01, 2011 - Project attempts to measure the depth and quality of EHR use by individual clinicians, and thus measure … The project employed
proxy measures that reduced accuracy. … With regard to hypertension
management, the CDS template that was measured was also used to measure … This template did not support the clinical workflow of hypertension management and was
not a fair measure … The project did measure use of the evaluation and management coding advisor, a tool that validates
coding
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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 - (Achieved)
• Measure the effect of the Excellence Report on individual performance in adherence to … of change for each quality measure was not always towards improvement. … The data consisted of summary data (proportion of exams that met the quality measure) on
a per endoscopist … The sites with
ASC accreditation tended to be more motivated to measure quality because of certification … Value of Measures and Reports.
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digital.ahrq.gov/ahrq-funded-projects/crossing-quality-assessment-chasm-aligning-measured-and-true-quality-care/annual-summary/2010
January 01, 2010 - University of Pennsylvania Health System’s (UPHS’s) ambulatory practices, where the current cross-sectional measures … project was able to leverage detailed and discrete data from electronic medical records (EMRs) to develop measures … The result of the analysis is intended to create a new set of quality measures that better reflects actual … structural and clinical issues that may affect the validity of comparisons made by providers using quality measures … In 2006, there was a problem with the reagents used to measure the HbA1c which artificially lowered the
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023704-adelman-final-report-2019.pdf
January 01, 2019 - ,1 the first Health IT Safety Measure endorsed by the National Quality Forum (NQF
Measure #2723).2,3 … The Wrong-Patient RAR Measure is an automated, validated, and reliable measure to
quantify the frequency … Measures
Clustering of Orders within Order Sessions. … The primary outcome measure, the Wrong-Patient RAR measure, is an electronic
query run retrospectively … Measures
Clustering of Orders within Order Sessions.
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digital.ahrq.gov/ahrq-funded-projects/evaluating-electronic-health-record-data-use-diabetes-quality-reporting
January 01, 2023 - are expanding their use of EHR data, which may be a particular concern given that existing quality measures … are often perceived by physicians to not accurately measure quality. … The method of identifying patients with diabetes did not have an impact on the performance measures. … performance using electronic health record data: the impact of diabetes definitions on performance measure … performance using electronic health record data: the impact of diabetes definitions on performance measure
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024335-rangachari-final-report-2018.pdf
January 01, 2018 - Data on these measures was collected over 6 quarters, i.e., Q1 2017 through Q2 2018. … External Rx Import (MEASURE 1) is a measure of MU-of-EHR-MedRec,
because a higher proportion reflects … “Missing Compliance Status Documentation” (MEASURE 2) is a
measure of MU-of-EHR MedRec, because a lower … Similar results were observed for MEASURE 2. … As such, similar to MEASURE 1, the improvement in MEASURE 2 for the
medicine services represented on
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017059-wu-final-report-2010.pdf
January 01, 2010 - Measures. … In one measure, recorded body
mass index (BMI), PCIP drafted and submitted a measure for endorsement … by NQF as no
measure existed for BMI at the time of the development process. … Description of quality measures abstracted from electronic record reviews
Quality Measure Eligible patients … for ten quality measures.