ArticleHealth affairs (Project Hope)2018
Primary Care Practices' Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02560428 (Evaluating System Change to Advance Learning and Take Evidence to Scale), which is not on this map. Cited by 57 papers.
What it found
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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.
Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES)
Who cites it
57 citing papers in PubMed.
- A controlled trial of dissemination and implementation of a cardiovascular risk reduction strategy in small primary care practices.Health services research · 2020Trial
- Implementation and adoption of a health insurance support tool in the electronic health record: a mixed methods analysis within a randomized trial.BMC health services research · 2020Trial
- A Randomized Trial of External Practice Support to Improve Cardiovascular Risk Factors in Primary Care.Annals of family medicine · 2019Trial
- Assessing quality improvement capacity in primary care practices.BMC family practice · 2019Trial
- Considerations Before Selecting a Stepped-Wedge Cluster Randomized Trial Design for a Practice Improvement Study.Annals of family medicineTrial
- Clinical Quality Measure Exchange is Not Easy.Annals of family medicineTrial
- Attributes of High-Performing Small Practices in a Guideline Implementation: A Multiple-Case Study.Journal of primary care & community healthTrial
- Practice Transformation Support and Patient Engagement to Improve Cardiovascular Care: From EvidenceNOW Southwest (ENSW).Journal of the American Board of Family Medicine : JABFMTrial
- Identifying strategies to leverage electronic health records and health information technology in colorectal cancer screening in primary care clinics.JAMIA open · 2026Article
- Article
- Challenges using electronic health records to support unhealthy alcohol use screening and intervention in primary care practices in the Pacific Northwest.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Organizational characteristics associated with sustained participation in internal quality improvement: Findings from two waves of a national sample of physician practices in the United States.Social science & medicine (1982) · 2025Article
- Goal alignment and unintended consequences of accountable care: How the structure of Oregon's Medicaid coordinated care model shapes health plan-clinic partnerships.Journal of clinical and translational science · 2025Article
- Do electronic health records used by primary care practices support recommended alcohol-related care?JAMIA open · 2024Article
- Implementation and adaptation of clinical quality improvement opioid measures.Healthcare (Amsterdam, Netherlands) · 2024Article
- Team and Electronic Health Record Features and Burnout Among Family Physicians.JAMA network open · 2024Article
- Unbiased care, unequal outcomes: a nursing telehealth intervention reveals systematic inequities in COVID-19 care delivery.BMC nursing · 2024Article
- Designing Communication Feedback Systems To Reduce Healthcare Providers' Implicit Biases In Patient Encounters.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2024Article
- Evaluating the Quality of Virtual Urgent Care: Barriers, Motivations, and Implementation of Quality Measures.Journal of general internal medicine · 2024Article
- Incorporating longitudinal history of risk factors into atherosclerotic cardiovascular disease risk prediction using deep learning.Scientific reports · 2024Article
Corrections and comments
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Authors and funding
19 authors.
Funding
Abstract
Federal value-based payment programs require primary care practices to conduct quality improvement activities, informed by the electronic reports on clinical quality measures that their electronic health records (EHRs) generate. To determine whether EHRs produce reports adequate to the task, we examined survey responses from 1,492 practices across twelve states, supplemented with qualitative data. Meaningful-use participation, which requires the use of a federally certified EHR, was associated with the ability to generate reports-but the reports did not necessarily support quality improvement initiatives. Practices reported numerous challenges in generating adequate reports, such as difficulty manipulating and aligning measurement time frames with quality improvement needs, lack of functionality for generating reports on electronic clinical quality measures at different levels, discordance between clinical guidelines and measures available in reports, questionable data quality, and vendors that were unreceptive to changing EHR configuration beyond federal requirements. The current state of EHR measurement functionality may be insufficient to support federal initiatives that tie payment to clinical quality measures.
Indexed as
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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.