Evidence map›Paper›PMID 27522472›Full record

ArticleAmerican journal of preventive medicine2016

Measuring Preventive Care Delivery: Comparing Rates Across Three Data Sources.

Steffani R Bailey, John D Heintzman, Miguel Marino, Megan J Hoopes, Brigit A Hatch, Rachel Gold, Stuart C Cowburn, Christine A Nelson, Heather E Angier, Jennifer E DeVoe

Open access · greenAbstract readComparative Study
In one paragraph

Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 24 citations in OpenAlex.

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  6. A framework for a consistent and reproducible evaluation of manual review for patient matching algorithms.Journal of the American Medical Informatics Association : JAMIA · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Steffani R BaileyDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon. Electronic address: bailstef@ohsu.edu.
John D HeintzmanDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Miguel MarinoDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon; Department of Public Health and Preventive Medicine, Division of Biostatistics, Oregon Health & Science University, Portland, Oregon.
Megan J HoopesOCHIN, Inc., Portland, Oregon.
Brigit A HatchDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon; OCHIN, Inc., Portland, Oregon.
Rachel GoldOCHIN, Inc., Portland, Oregon; Kaiser Permanente Northwest Center for Health Research, Portland, Oregon.
Stuart C CowburnOCHIN, Inc., Portland, Oregon.
Christine A NelsonOCHIN, Inc., Portland, Oregon.
Heather E AngierDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Jennifer E DeVoeDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon; OCHIN, Inc., Portland, Oregon.
Oregon Health & Science University · USOchin · US

Funding

OREGON CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024140 · NCRR · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2006 to 2011
$61.1M
Oregon Clinical and Translational Research InstituteUL1TR000128 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$28.7M
Assessing a Medicaid Randomized Insurance Experiment within Community ClinicsR01HL107647 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DEVOE, JENNIFER E · 2011 to 2014
$2.8M
Meaningful Use and Treatment of Smoking in Federally-Qualified Health CentersK23DA037453 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI BAILEY, STEFFANI R · 2015 to 2019
$841k
NCATS NIH HHS UL1 TR000128NCRR NIH HHS UL1 RR024140NHLBI NIH HHS R01 HL107647NIDA NIH HHS K23 DA037453
6 · The paper itself

Abstract

introductionPreventive care delivery is an important quality outcome, and electronic data reports are being used increasingly to track these services. It is highly informative when electronic data sources are compared to information manually extracted from medical charts to assess validity and completeness.

methodsThis cross-sectional study used a random sample of Medicaid-insured patients seen at 43 community health centers in 2011 to calculate standard measures of correspondence between manual chart review and two automated sources (electronic health records [EHRs] and Medicaid claims), comparing documentation of orders for and receipt of ten preventive services (n=150 patients/service). Data were analyzed in 2015.

resultsUsing manual chart review as the gold standard, automated EHR extraction showed near-perfect to perfect agreement (κ=0.96-1.0) for services received within the primary care setting (e.g., BMI, blood pressure). Receipt of breast and colorectal cancer screenings, services commonly referred out, showed moderate (κ=0.42) to substantial (κ=0.62) agreement, respectively. Automated EHR extraction showed near-perfect agreement (κ=0.83-0.97) for documentation of ordered services. Medicaid claims showed near-perfect agreement (κ=0.87) for hyperlipidemia and diabetes screening, and substantial agreement (κ=0.67-0.80) for receipt of breast, cervical, and colorectal cancer screenings, and influenza vaccination. Claims showed moderate agreement (κ=0.59) for chlamydia screening receipt. Medicaid claims did not capture ordered or unbilled services.

conclusionsFindings suggest that automated EHR and claims data provide valid sources for measuring receipt of most preventive services; however, ordered and unbilled services were primarily captured via EHR data and completed referrals were more often documented in claims data.

Indexed as

AdultCross-Sectional StudiesElectronic Data ProcessingElectronic Health RecordsFemaleHumansMaleMedicaidMiddle AgedPreventive MedicineUnited StatesYoung Adult

Identifiers

PMID27522472
PMCPMC5067199
OpenAlexW2515826841

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.