ArticleTransactions of the American Clinical and Climatological Association2008
Using electronic medical records to measure and improve performance.
Article in Transactions of the American Clinical and Climatological Association, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed.
- Implementing a Measurement Feedback System: A Tale of Two Sites.Administration and policy in mental health · 2016Trial
- Public Reporting Systems in Health Care and the Underconceptualized Technical Substrate, a Core Information Systems Dimension: Scoping Review.JMIR medical informatics · 2026Article
- The current and potential uses of Electronic Medical Record (EMR) data for primary health care performance measurement in the Canadian context: a qualitative analysis.BMC health services research · 2021Article
- Attributing Patients to Pediatric Residents Using Electronic Health Record Features Augmented with Audit Logs.Applied clinical informatics · 2020Article
- Association Of A Regional Health Improvement Collaborative With Ambulatory Care-Sensitive Hospitalizations.Health affairs (Project Hope) · 2018Article
- Implementing a Measurement Feedback System in Community Mental Health Clinics: A Case Study of Multilevel Barriers and Facilitators.Administration and policy in mental health · 2016Article
- Investigating concordance in diabetes diagnosis between primary care charts (electronic medical records) and health administrative data: a retrospective cohort study.BMC health services research · 2010Article
- Health plan administrative records versus birth certificate records: quality of race and ethnicity information in children.BMC health services research · 2010Article
- Documentation of contact precautions in an electronic health record.Journal of nursing care qualityArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
Abstract
Clinical performance measurement and public reporting are taking center stage nationwide, linked to transparency initiatives and incentive systems that reward physicians for meeting endorsed quality standards. While electronic medical records (EMRs) are increasingly available to measure and improve quality of care, performance measurement continues to be dominated by the use of insurance claims. Limitations to claims-based measurement include challenges in assigning attribution of care to specific physicians, inefficient and incomplete sampling methods, and the coarseness of measures frequently available to insurers. Practice improvement using claims-based approaches is further limited by the inability to provide timely and specific feedback to physicians and their patients. Finally, in claims-based approaches, care is not measured for the 47 million uninsured patients in the United States. In the current presentation I describe how these limitations are being addressed using EMRs, highlighting the design and selected preliminary results of a large trial to improve the care of patients with diabetes.
Indexed as
Identifiers
18596863PMC2394701What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.