ArticleJournal of palliative medicine2018
Using Electronic Health Records for Quality Measurement and Accountability in Care of the Seriously Ill: Opportunities and Challenges.
Article in Journal of palliative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Electronic Medical Record Driven Quality Measurement and Feedback Systems.International journal of environmental research and public health · 2022Pooled it
- Assessment of Natural Language Processing of Electronic Health Records to Measure Goals-of-Care Discussions as a Clinical Trial Outcome.JAMA network open · 2023Trial
- Article
- Adherence to a care pathway for inflammatory bowel disease in the southwest region of the Netherlands: results of a mixed-methods implementation study.BMJ open quality · 2025Article
- Measuring Goal-Concordant Care Using Electronic Clinical Notes.JAMA network open · 2025Article
- Patient-Reported Goals of Care in the Preoperative Clinic: Barriers to and Facilitators of Patient Values Elicitation and Documentation.Journal of surgical oncology · 2025Article
- Communication, Shared Decision-making and Goals of Care in the ICU through Electronic Health Records: A Scoping Review.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- Leveraging the electronic health record to identify delivery of goal-concordant care.medRxiv : the preprint server for health sciences · 2024Article
- Harnessing Natural Language Processing to Assess Quality of End-of-Life Care for Children With Cancer.JCO clinical cancer informatics · 2024Article
- Classification of Documented Goals of Care Among Hospitalized Patients with High Mortality Risk: a Mixed-Methods Feasibility Study.Journal of general internal medicine · 2024Article
- Factors Associated With Quality-of-Dying-and-Death Classes Among Critically Ill Patients.JAMA network open · 2024Observational
- Development of quality indicators for palliative care in intensive care units and pilot testing them via electronic medical record review.Journal of intensive care · 2024Article
- Beyond communication: an update on transforming healthcare teams.Frontiers in medicine · 2024Article
- Parent Priorities in End-of-Life Care for Children With Cancer.JAMA network open · 2023Article
- Predictors of Documented Goals-of-Care Discussion for Hospitalized Patients With Chronic Illness.Journal of pain and symptom management · 2023Article
- Article
- Improving communication about goals of care for hospitalized patients with serious illness: Study protocol for two complementary randomized trials.Contemporary clinical trials · 2022Article
- Patient Race, Ethnicity, Language, and Pain Severity in Primary Care: A Retrospective Electronic Health Record Study.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2022Article
- Mixed-methods evaluation of three natural language processing modeling approaches for measuring documented goals-of-care discussions in the electronic health record.Journal of pain and symptom management · 2022Article
- Using Natural Language Processing to Classify Serious Illness Communication with Oncology Patients.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2022Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundAs our population ages and the burden of chronic illness rises, there is increasing need to implement quality metrics that measure and benchmark care of the seriously ill, including the delivery of both primary care and specialty palliative care. Such metrics can be used to drive quality improvement, value-based payment, and accountability for population-based outcomes.
methodsIn this article, we examine use of the electronic health record (EHR) as a tool to assess quality of serious illness care through narrative review and description of a palliative care quality metrics program in a large healthcare system.
resultsIn the search for feasible, reliable, and valid palliative care quality metrics, the EHR is an attractive option for collecting quality data on large numbers of seriously ill patients. However, important challenges to using EHR data for quality improvement and accountability exist, including understanding the validity, reliability, and completeness of the data, as well as acknowledging the difference between care documented and care delivered. Challenges also include developing achievable metrics that are clearly linked to patient and family outcomes and addressing data interoperability across sites as well as EHR platforms and vendors. This article summarizes the strengths and weakness of the EHR as a data source for accountability of community- and population-based programs for serious illness, describes the implementation of EHR data in the palliative care quality metrics program at the University of Washington, and, based on that experience, discusses opportunities and challenges. Our palliative care metrics program was designed to serve as a resource for other healthcare systems. DISCUSSION: Although the EHR offers great promise for enhancing quality of care provided for the seriously ill, significant challenges remain to operationalizing this promise on a national scale and using EHR data for population-based quality and accountability.
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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.