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digital.ahrq.gov/ahrq-funded-projects/monitoring-intensification-treatment-hyperglycemia-and-hyperlipidemia
January 01, 2023 - A method to monitor the new measure was designed utilizing natural language processing (NLP) tools to … hyperlipidemia is more strongly associated with clinical outcomes than currently used process measures … The project team successfully developed and validated a new diabetes care process measure. … Electronic Medical Record
Performance of primary care physicians and other providers on key process measures … Performance of primary care physicians and other providers on key process measures in the treatment of
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-cds-connect/citation/statin
January 01, 2023 - therapy for the prevention and treatment of cardiovascular disease (CVD) electronic Clinical Quality Measure … therapy for the prevention and treatment of cardiovascular disease (CVD) electronic Clinical Quality Measure
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digital.ahrq.gov/ahrq-funded-projects/massachusetts-quality-e-measure-validation-study/annual-summary/2011
January 01, 2011 - Massachusetts Quality E-Measure Validation Study - 2011
Project Name
Massachusetts … Funding Amount
$995,575
Summary: Although the National Quality Forum has endorsed 26 standardized measures … records (EHRs) could revolutionize ambulatory quality measurement by increasing the validity of clinical measures … Ambulatory Care Quality Alliance (AQA) ambulatory care measurement set, the study team compared quality measures … data extraction logic for the AQA ambulatory quality measure set.
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digital.ahrq.gov/sites/default/files/docs/page/how-to-read-quick-reference-guides.pdf
June 30, 2015 - REFERENCE GUIDES
Each Reference Guide is divided into the following sections:
Description of the Measure … – A brief explanation of the measure and why an
organization would consider using it to evaluate a … Source of Data for Measures – Suggested data sources to measure the outcome (e.g.,
chart review, electronic … Analysis Considerations – Issues to consider when planning to use a measure, including
the potential … risks to studying the particular measure.
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digital.ahrq.gov/sites/default/files/docs/activity/standardization_and_automatic_extraction_of_quality_measures_2009_pdf__2.pdf
January 01, 2009 - to compare the completeness and accuracy of quality measure code assignment of manual coding
with automated … the 2009 PQRI
measure changes. … complete than coders at identifying eligible
populations and more accurate in reporting the quality measure … Eleven of 12 additional eligibility requirements required a
query, and all quality measure exclusions … Future
studies are indicated on the use of quality measure queries, data fields, and assessments within
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digital.ahrq.gov/sites/default/files/docs/page/final-logan-story-7-2-12.pdf
July 02, 2012 - Using Electronic Health Records to Measure and Improve Quality for Colonoscopy Procedures
1
AHRQ Health … Information Technology
Ambulatory Safety and Quality | EQM
Using Electronic Health Records
To Measure … These measures covered areas such as—
• Quality of bowel preparation (Documentation
quality measure … Process quality measure).
• Polyp detection and retrieval (Process quality measure).
• Intra and postprocedural … complication rate
(Clinical outcome quality measures).
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017022-hazlehurst-final-report-2010.pdf
January 01, 2010 - Developing Measures of Care Quality
Our initial measure set was created from existing quality measures … We first identified 25 measures from comprehensive, rigorous, process quality measure sets,
primarily … Below we
report on our implementations of the remaining 18 measures in the ACQ measure set. … A routine
care composite measure was created by calculating the proportion of measures 1, 2, 3, 5, 6 … Patients receiving all of the exacerbation-related
measures (i.e., the composite AE measure = 1) are
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digital.ahrq.gov/using-electronic-health-records-measure-and-improve-quality-colonoscopy-procedures
January 01, 2023 - Using Electronic Health Records to Measure and Improve Quality for Colonoscopy Procedures
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digital.ahrq.gov/sites/default/files/docs/AHRQ_Evaluation_Webinar_May08.pdf
May 15, 2008 - • Clinical Outcomes Measure
• Clinical Processes Measures
• Provider Adoption and Attitudes Measures … • Patient Knowledge and Attitudes Measures
• Workflow Impact Measures
• Financial Impact Measures … – How are you going to measure? … Measures:
– Total Staff
– Estimated Duration vs. … Measure: Cost reduction.
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digital.ahrq.gov/sites/default/files/docs/quality-measurement-hit-slides-073112.pdf
September 21, 2012 - Developer • Identify, develop, test, and implement measures
Measure Endorser (NQF) • Endorses national … development to support the consumer
Determining the
measure set
A core measure set aligned to … that matter to consumers
– Identify measures that measure value
▪ Examples of technology challenges … How do we motivate measure developers to create new
health IT-enabled quality measures (that are distinct … for e-measure
generation if pursued, would support more efficient
generation of quality measures?
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digital.ahrq.gov/sites/default/files/docs/page/medicaid_chip_quality_measurement_strategies__hitech__chipra__and_the_affordable_care_act_5.pdf
January 04, 2021 - Prevention and Health
Promotion
NQF ID Measure
Owner
Measure Name EHR
0039 NCQA Flu Shots for … Owner Measure Name EHR
0276 AHRQ PQI 07: Hypertension —
0277 AHRQ PQI 08: Congestive heart failure … Owner Measure Name EHR
0052 NCQA Use of Imaging Studies for Low Back Pain X
0640 TJC HBIPS-2 Hours of … Owner Measure Name EHR
0071 NCQA Persistence of Beta-Blocker Treatment After a Heart Attack —
0018 … Owner Measure Name EHR
0006 AHRQ CAHPS Health Plan Survey v 4.0 - Adult
Questionnaire
—
0007 NCQA
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017018-lehmann-final-report-2010.pdf
January 01, 2010 - exploratory factor analysis to assess feasibility
(preliminary convergent and discriminate validity) of scales … Teamwork climate and safety climate are psychometrically validated scales from
the Safety Attitudes … Related to the EHR based Quality Measure. … Factor analysis suggested the proposed scales required modification
from the intended scales. … The final overall scales and subscales had Cronbach’s alphas ranging
from 0.51 (timeliness) to 0.88
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digital.ahrq.gov/sites/default/files/docs/page/automating-quality-measurement-health-it-for-scalable-comprehensive-and-routine-quality-assessment.pdf
June 03, 2010 - RAND assessment of quality
(McGlynn et al, NEJM, June 2003)
Developed and applied 439 quality measures … delivery
EMRClinical Guidelines
Automated Assessment
of Care Quality
Development of
EMR-sensitive
measures … Using electronic claims data alone, only 34% of the
measures can be obtained
Codes for billable … interval” defined by
the measure and relative to patients qualification for the
measure). … Asthma Care Quality Measure Set (partial)
Quality Measure Denominator criteria[Index Date]
Numerator
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017160-kmetik-final-report-2009.pdf
January 01, 2009 - The
integration of the performance measures involved the translation and mapping of the measure
specifications … Measures
The performance measures used in this project focused on CAD and HF. … Measure Met Findings. … The rate for each quality measure
was lower than the rate reported for similar measures used in the … Measure.
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digital.ahrq.gov/sites/default/files/docs/page/HIE_Evaluation_Toolkit.pdf
November 27, 2007 - Each table in these
lists includes possible measures, suggested data sources for each measure, cost … At the same time, you should not pick these
measures without carefully considering whether each measure … , such as:
• Clinical Outcomes Measure
• Clinical Processes Measures
• Provider Adoption and … Each table in these lists includes
possible measures, suggested data sources for each measure, cost … measures are expensive to measure, and you should tailor your evaluation plans according to the needs
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018157-hazlehurst-final-report-2013.pdf
January 01, 2013 - Performance of automated measures compared to chart review
Measure delivered per Comparison … For measures 2-8, these prevalences are very
consistent with those observed in the EMR-measure validation … Table 4 Prevalence of OCQ measures during selected visits in 2007
OCQ Measure OCHIN KPNW Total
n … 17
measures, as only two occurrences of this measure were noted, but was included in the summary … Second, because not all patients had a follow-up visit within the window in which
final weights were
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-enablement-quality-measurement-health-information
January 01, 2023 - The report produced by HITEP-I recommended a set of 84 high-priority performance measures to enhance … within quality data management workflows for identifying patients who are eligible for inclusion in measure … The QDS is a classification system by which measure developers can offer and refine definitions. … The QDS aims to provide direction to measure developers, electronic health record vendors, and other … These elements will be used to construct, with measure-related logic, numerators and denominators.
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digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-4.pdf
November 14, 2014 - This subsection describes how to narrow the list of candidate measures by—
z Ranking each measure … measures. … larger number of measures.
4-18
Table 4-3. evaluaTion plan deTails
Document for Each Measure Final … Evaluation Measures
Measure 1 Measure 2 Measure 3 Measure 4
Briefly describe the HIE project. … 4-19
Document for Each Measure Final Evaluation Measures
Measure 1 Measure 2 Measure 3 Measure 4
Estimate
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2012
January 01, 2012 - Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures - 2012 … the quality of diabetes care, as measured by the Health Partners “Optimal Diabetes Care” composite measure … This composite measure includes hemoglobin A1c (HbA1c), cholesterol, blood pressure, aspirin prescription … outcomes, measured by the proportion of patients meeting the Health Partners Optimal Diabetes Care measure … Diabetes Management Form on patient outcomes related to diabetes as measured by the Optimal Diabetes Care measure
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digital.ahrq.gov/sites/default/files/docs/20130913-health-it-enabled-quality-measurement-presentation-slides.pdf
September 13, 2013 - can evolve as new data
becomes available
• Measures for public health and public
reporting should … for public health and public
reporting should be limited to measures
that can use data collected in … Development,
Implementation, and Testing
Increasing need for measure
users to help set the measure … ”
▪ Measures must matter to patients. … better engaged in the
measure development
and implementation
process.