Evidence map›Paper›PMID 29898468›Full record

ArticleApplied clinical informatics2018

Using Clinical Data Standards to Measure Quality: A New Approach.

John D D'Amore, Chun Li, Laura McCrary, Jonathan M Niloff, Dean F Sittig, Allison B McCoy, Adam Wright

Abstract read
In one paragraph

Article in Applied clinical informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Data Quality in Health Research: Integrative Literature Review.Journal of medical Internet research · 2023
    Review
  3. Article
  4. Article
  5. Article
  6. Clinical data sharing improves quality measurement and patient safety.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
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

7 authors.

John D D'AmoreDiameter Health, Inc., Farmington, Connecticut, United States.
Chun LiDiameter Health, Inc., Farmington, Connecticut, United States.
Laura McCraryKansas Health Information Network, Topeka, Kansas, United States.
Jonathan M NiloffDiameter Health, Inc., Farmington, Connecticut, United States.
Dean F SittigSchool of Biomedical Informatics, University of Texas-Memorial Hermann Center for Healthcare Quality and Safety, University of Texas Health Science Center, Houston, Texas, United States.
Allison B McCoyDepartment of Global Biostatistics and Data Science, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, United States.
Adam WrightDivision of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundValue-based payment for care requires the consistent, objective calculation of care quality. Previous initiatives to calculate ambulatory quality measures have relied on billing data or individual electronic health records (EHRs) to calculate and report performance. New methods for quality measure calculation promoted by federal regulations allow qualified clinical data registries to report quality outcomes based on data aggregated across facilities and EHRs using interoperability standards.

objectiveThis research evaluates the use of clinical document interchange standards as the basis for quality measurement.

methodsUsing data on 1,100 patients from 11 ambulatory care facilities and 5 different EHRs, challenges to quality measurement are identified and addressed for 17 certified quality measures.

resultsIterative solutions were identified for 14 measures that improved patient inclusion and measure calculation accuracy. Findings validate this approach to improving measure accuracy while maintaining measure certification.

conclusionOrganizations that report care quality should be aware of how identified issues affect quality measure selection and calculation. Quality measure authors should consider increasing real-world validation and the consistency of measure logic in respect to issues identified in this research.

Indexed as

Ambulatory Care FacilitiesElectronic Health RecordsFemaleHumansMaleQuality ControlReference Standards

Identifiers

PMID29898468
PMCPMC5999523

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.