scholarly journals Primary Care Practices’ Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement

2018 ◽  
Vol 37 (4) ◽  
pp. 635-643 ◽  
Author(s):  
Deborah J. Cohen ◽  
David A. Dorr ◽  
Kyle Knierim ◽  
C. Annette DuBard ◽  
Jennifer R. Hemler ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Electronic Health Record ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Record Data ◽  
Care Practices ◽  
Electronic Health ◽  
Primary Care Practices

scholarly journals Use of electronic health record data from diverse primary care practices to identify and characterize patients’ prescribed common medications

2018 ◽  
Vol 26 (1) ◽  
pp. 172-180 ◽  
Author(s):  
Allison M Cole ◽  
Kari A Stephens ◽  
Imara West ◽  
Gina A Keppel ◽  
Ken Thummel ◽  
...  
Keyword(s):  
Primary Care ◽  
Adverse Events ◽  
Electronic Health Record ◽  
Research Network ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Record Data ◽  
Care Practices ◽  
Electronic Health ◽  
Primary Care Practices

We use prescription of statin medications and prescription of warfarin to explore the capacity of electronic health record data to (1) describe cohorts of patients prescribed these medications and (2) identify cohorts of patients with evidence of adverse events related to prescription of these medications. This study was conducted in the WWAMI region Practice and Research Network (WPRN)., a network of primary care practices across Washington, Wyoming, Alaska, Montana and Idaho DataQUEST, an electronic data-sharing infrastructure. We used electronic health record data to describe cohorts of patients prescribed statin or warfarin medications and reported the proportions of patients with adverse events. Among the 35,445 active patients, 1745 received at least one statin prescription and 301 received at least one warfarin prescription. Only 3 percent of statin patients had evidence of myopathy; 51 patients (17% of those prescribed warfarin) had a bleeding complication. Primary-care electronic health record data can effectively be used to identify patients prescribed specific medications and patients potentially experiencing medication adverse events.

scholarly journals Practice Facilitator Strategies for Addressing Electronic Health Record Data Challenges for Quality Improvement: EvidenceNOW

2018 ◽  
Vol 31 (3) ◽  
pp. 398-409 ◽  
Author(s):  
Jennifer R. Hemler ◽  
Jennifer D. Hall ◽  
Raja A. Cholan ◽  
Benjamin F. Crabtree ◽  
Laura J. Damschroder ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Electronic Health Record ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Record Data ◽  
Electronic Health

scholarly journals A typology of electronic health record workarounds in small-to-medium size primary care practices

2014 ◽  
Vol 21 (e1) ◽  
pp. e78-e83 ◽  
Author(s):  
Asia Friedman ◽  
Jesse C Crosson ◽  
Jenna Howard ◽  
Elizabeth C Clark ◽  
Maria Pellerano ◽  
...  
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Medium Size ◽  
Health Record ◽  
Care Practices ◽  
Electronic Health ◽  
Primary Care Practices

scholarly journals Possible Sources of Bias in Primary Care Electronic Health Record Data Use and Reuse (Preprint)

2017 ◽  
Author(s):  
Robert A Verheij ◽  
Vasa Curcin ◽  
Brendan C Delaney ◽  
Mark M McGilchrist
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Data Use ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Record Data ◽  
Electronic Health

scholarly journals Possible Sources of Bias in Primary Care Electronic Health Record Data Use and Reuse

2018 ◽  
Vol 20 (5) ◽  
pp. e185 ◽  
Author(s):  
Robert A Verheij ◽  
Vasa Curcin ◽  
Brendan C Delaney ◽  
Mark M McGilchrist
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Data Use ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Record Data ◽  
Electronic Health

Toolkit for Best Practice Use of Electronic Health Record Data in Quality Improvement

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Courtney Omary ◽  
Michelle Cox-Henley ◽  
Vicki Stover Hertzberg ◽  
John N. Cranmer ◽  
Roy L. Simpson
Keyword(s):  
Quality Improvement ◽  
Electronic Health Record ◽  
Best Practice ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Record Data ◽  
Electronic Health

scholarly journals Interpersonal continuity of primary care of veterans with diabetes: a cohort study using electronic health record data

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Christine M. Everett ◽  
Perri Morgan ◽  
Valerie A. Smith ◽  
Sandra Woolson ◽  
David Edelman ◽  
...  
Keyword(s):  
Primary Care ◽  
Cohort Study ◽  
Electronic Health Record ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Record Data ◽  
Electronic Health

Effect of an Electronic Health Record Transition on the Provision of Recommended Well Child Services in Pediatric Primary Care Practices

2019 ◽  
Vol 59 (2) ◽  
pp. 188-197 ◽  
Author(s):  
Geoffrey Binney ◽  
Tamalie Cole-Poklewski ◽  
Tamar Roomian ◽  
Emily K. Trudell ◽  
Jonathan Hatoun ◽  
...  
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Preventive Care ◽  
Pediatric Primary Care ◽  
Health Record ◽  
Child Services ◽  
Age Appropriate ◽  
Care Practices ◽  
Electronic Health ◽  
Primary Care Practices

We sought to determine the effect of transitioning between electronic health record (EHR) systems on the quality of preventive care in a large pediatric primary care network. To study this, we performed a retrospective chart analysis of 42 primary care practices from the Pediatric Physicians’ Organization at Children’s who transitioned EHRs. We reviewed 24 random encounters per week distributed evenly across 6 age categories before, during, and after a transition period. We reviewed encounter documentation for age-appropriate well child services, per American Academy of Pediatrics/Bright Futures guidelines. Logistic regression and statistical process control analysis were used. In the pretransition period, 84.5% of all recommended elements were documented versus 86.4% posttransition ( P = .04). Documentation of age-appropriate anticipatory guidance showed significant positive change (69.0% to 80.2%, P = .005), but it was the only subdomain with a statistically significant increase. These increases suggest that EHR transitions have the opportunity to affect the delivery of preventive care.

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