Evidence map›Paper›PMID 29854122›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2017

Specifications of Clinical Quality Measures and Value Set Vocabularies Shift Over Time: A Study of Change through Implementation Differences.

Raja A Cholan, Nicole G Weiskopf, Douglas L Rhoton, Nicholas V Colin, Rachel L Ross, Melanie N Marzullo, Bhavaya Sachdeva, David A Dorr

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
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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

8 authors.

Raja A CholanOregon Health & Science University, Portland, Oregon.
Nicole G WeiskopfOregon Health & Science University, Portland, Oregon.
Douglas L RhotonOregon Health & Science University, Portland, Oregon.
Nicholas V ColinOregon Health & Science University, Portland, Oregon.
Rachel L RossOregon Health & Science University, Portland, Oregon.
Melanie N MarzulloOregon Health & Science University, Portland, Oregon.
Bhavaya SachdevaOregon Health & Science University, Portland, Oregon.
David A DorrOregon Health & Science University, Portland, Oregon.

Funding

The Northwest Coalition for Primary Care Practice SupportR18HS023908 · AHRQ · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI PARCHMAN, MICHAEL L · 2015 to 2017
$13.3M
AHRQ HHS R18 HS023908
6 · The paper itself

Abstract

Clinical quality measures (CQMs) aim to identify gaps in care and to promote evidence-based guidelines. Official CQM definitions consist of a measure's logic and grouped, standardized codes to define key concepts. In this study, we used the official CQM update process to understand how CQMs' meanings change over time. First, we identified differences between the narrative description, logic, and the vocabulary specifications offour standardized CQMs' definitions in subsequent versions (2015, 2016, and 2017). Next, we implemented the various versions in a quality measure calculation registry to understand how the differences affected calculated prevalence of risk and measure performance. Global performance rates changed up to 5.32%, and an increase of up to 28% new patients was observed for key conditions between versions. Updates to definitions that change a measure's logic and choices to include/exclude codes in value set vocabularies changes measurement of quality and likely introduces variation by implementation.

Indexed as

Quality ControlQuality Indicators, Health CareVocabulary, ControlledAdolescentAdultCenters for Medicare and Medicaid Services, U.S.Data AccuracyHumansNarrationUnited States

Identifiers

PMID29854122
PMCPMC5977609

What OpenQuestion holds

Textmetadata
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.