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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017048-schneider-final-report-2011.pdf
January 01, 2011 - quality measures, 14 measures pertaining to
adults were specified by the MAeHC team for implementation … Instead
of focusing on a measure-by-measure analysis, we developed a framework focused on the
evaluation … Example: Data element cross-walk for measure of blood pressure control
Condition: Hypertension
Measure … Example: Data element cross-walk for measure of blood pressure control (continued)
Measure: BP
Controlled … Example: Data element cross-walk for measure of blood pressure control (continued)
Measure: BP
Controlled
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-primary-care-workflow-and-financial
January 01, 2023 - Impact of Health Information Technology on Primary Care Workflow and Financial Measures … Estimate the effect of the EHR on financial measures. … Impact of Health Information Technology on Primary Care Workflow and Financial Measures - 2011 … Impact of Health Information Technology on Primary Care Workflow and Financial Measures - 2010 … The impact of electronic health records on workflow and financial measures in primary care practices.
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digital.ahrq.gov/sites/default/files/docs/page/unlocking_quality_information__understanding_the_value_of_health_it_for_quality_measurement_and_improvement_5.pdf
April 26, 2010 - A given measure contains a numerator,
denominator, exclusions, and exceptions.
5
Anatomy of a … Quality Measure
6
Quality Measurement in
Evolution
• Drive toward higher performance … • Measure disparities in all we do.
• Harmonize measures across sites and providers.
• Promote shared … Measure: 80% of CHCs have adopted the components of
the advanced medical home: multidisciplinary care … Anatomy of a Quality Measure
Quality Measurement in Evolution
Growth of NQF Endorsed Measures
Problem
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digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-a.pdf
January 20, 2015 - Identifying Potential Evaluation Measures
Select a set of evaluation measures that you may use in assessing … 4, “Identifying Potential Evaluation
Measures” to narrow down to a set of candidate measures before … Document for each measure Final evaluation measures
Measure 1 Measure 2 Measure 3 Measure 4
Briefly … Sample size:
A-7
Document for each measure Final evaluation measures
Measure 1 Measure 2 Measure … :
Evaluation Study:
Data Sources:
Candidate Evaluation Measures:
Feasible Measure:
Feasible
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digital.ahrq.gov/organization/battelle-memorial-institute
January 01, 2023 - Battelle Memorial Institute
Quality Indicators Care Coordination Measures … Principal Investigator
Brustrom, Jennifer
Project Name
Quality Indicators Care Coordination Measures … Project
Quality Indicators Care Coordination Measures Project
Description … This project developed the Care Coordination Measures Atlas, which catalogues 61 measures of care … coordination, maps them to elements of a care coordination measurement framework, and summarizes key measure
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digital.ahrq.gov/sites/default/files/docs/page/ehr_data_to_measure_medicaid_quality_opportunities_for_the_initial_core_set_of_qms_for_medicaid_eligible_adults_5.pdf
February 23, 2012 - Medicaid/CHIP Agencies
Welcome to the AHRQ Medicaid and CHIP TA
Web-Based Workshop
EHR Data to Measure … Subcommittee of National Advisory Council
(SNAC) formed at AHRQ
▫Similar process to CHIPRA “core” measure … ▪Aspirational, yet practical
▫Need to measure what is important
▪ “Align” with other initiatives, … ▪ What are the reasons for and against leveraging
quality measure data gathered from EHR users
who … get Medicaid MU incentives for quality
measure reporting, from your perspective?
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs020696-ballard-final-report-2013.pdf
January 01, 2013 - The
primary outcome was the HealthPartners’ “optimal care” measure: HbA1c ≤ 8%; LDL-
cholesterol <100 … and
outcome measures. … Measures
Our primary analysis assessed the HealthPartners Optimal Diabetes Care measure, adopted
by … Each outcome measure was summarized over all patient-years (annual
observations on a single patient) … The effect of DMF exposure on the outcome
measure was assessed by testing β1 = 0.
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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/ImpactHealthITPrimaryCareWorkflow.pdf
September 19, 2011 - Impact of Health IT on Primary Care Workflow and Financial Measures
Impact of Health IT on
Primary … Care Workflow and
Financial Measures
Neil S. … ©2009 Baylor Health Care System
Outcome Measures
Workflow:
Non-physician Staff per … Statistical Model
We estimated the effects for the following linear model for our work flow
and financial measure … variables:
Yit = β 0 + β AEHR*EHR + βT*Tit + βH*H+ εit
where Yit is the work flow or financial measure
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digital.ahrq.gov/ahrq-funded-projects/using-precision-performance-measurement-conduct-focused-quality-improvement
January 01, 2023 - Patients may incorrectly be considered eligible for a measure; appear to fail a quality measure they … have met because data satisfying the measure was not captured; or have reasons the measure was not appropriate … Standards and Classifications
The implications of using adjusted versus unadjusted methods to measure … The implications of using adjusted versus unadjusted methods to measure health care disparities at the … Frequency of inappropriate medical exceptions to quality measures.
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digital.ahrq.gov/sites/default/files/docs/page/2-2010_0201_TEP_Demos_Dashboards.pdf
January 01, 2010 - “Prevalence”
CDS
Concept
Description Count Measure Eye Exam
Prevalence Clinically eligible
population … “Presentation”
CDS
Concept
Description Count Measure Eye Exam
Display Presentation of the
reminder … “CDS Performance”
CDS
Concept
Description Count Measure Eye Exam
CDS
Performance
Of times CDS … Specifying Reminder Measures�“Prevalence”
Specifying Reminder Measures“Presentation”
Specifying Reminder … Measures�“Acknowledged”
Specifying Reminder Measures�“CDS Performance”
Specifying Reminder Measures
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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/health-it-tools-and-resources/health-it-costs-and-benefits-database/comparing-clinical-automated
October 01, 2002 - Comparing clinical automated, medical record, and hybrid data sources for diabetes quality measures … Intervention: Diabetes quality measures constructed from clinical automated was compared to medical … Evaluation Method: Measures of agreement and performance. … process measures but high for intermediate outcome measures. … Hybrid measures yielded success rates similar to those of medical record-based measures but would have
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022583-phillips-final-report-2018.pdf
January 01, 2018 - measure results. … dashboards, time spent reviewing measures, selection of SAMs and IAs, and changes
in quality measures … Measures
Overlap in Quality Measures Used in TRADEMaRQ by Partner
TRADEMaRQ Measures
NQF # (description … dashboard populated with their own measure data
(table 4). … This level of scrutiny may
be required for maintaining measure accuracy.
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digital.ahrq.gov/ahrq-funded-projects/evaluating-electronic-health-record-data-use-diabetes-quality-reporting/annual-summary/2011
January 01, 2011 - to identify a target population or examined specifically how the use of EHR data can impact quality measures … are often perceived by physicians to not accurately measure quality. … Hirsch is evaluating the validity of using EHR data in P4P measures, specifically focusing on quality … measures in diabetes, one of the conditions for which CMS permits the use of EHR data. … (Ongoing)
Determine the impact of utilizing different EHR criteria on existing quality measures for
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digital.ahrq.gov/sites/default/files/docs/resource/Logan_TheExcellenceReport_FAQs.pdf
January 01, 2007 - Report: Colonoscopy Quality Measures in Ambulatory Care
Q: What quality measures will be used? … What quality measures will be used?
Initially, seven quality measures will be reported. … The first
seven measures are:
1. … Why were those quality measures chosen? … for the AMA Physicians
Performance Measures program
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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/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/citation/r21hs021799-cohen-final-report-2018.pdf
January 01, 2018 - Data suggest
that children as young as 4 years of age can report internal distress using face scales … and easy to use, and they do
not result in clustering of scores as is common with categorical-type scales … The Simulation and Radiation Therapy Task Analysis is a
measure established in a prior study of preparation … The TSI is a 10-item measure querying participants’ about
their satisfaction with the procedural preparation … The TSI was based on the Treatment Evaluation
Inventory – Short Form (TEI-SF), a validated measure of
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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