Evidence map›Paper›PMID 31801173›Full record

ArticleApplied clinical informatics2019

Sustained Improvement in Inflammatory Bowel Disease Quality Measures Using an Electronic Health Record Intervention.

Andrew Bensinger, Farra Wilson, Patrick Green, Richard Bloomfeld, Ajay Dharod

Open access · bronzeAbstract read
In one paragraph

Article in Applied clinical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Andrew BensingerDepartment of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina, United States.
Farra WilsonDepartment of Internal Medicine, Section on Gastroenterology, Wake Forest University School of Medicine, Winston Salem, North Carolina, United States.
Patrick GreenDepartment of Internal Medicine, Section on Gastroenterology, Wake Forest University School of Medicine, Winston Salem, North Carolina, United States.
Richard BloomfeldDepartment of Internal Medicine, Section on Gastroenterology, Wake Forest University School of Medicine, Winston Salem, North Carolina, United States.
Ajay DharodDepartment of Internal Medicine, Section on General Internal Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina, United States.
Wake Forest University · US

Funding

Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
NCATS NIH HHS UL1 TR001420
6 · The paper itself

Abstract

backgroundInflammatory bowel disease (IBD) is a chronic condition with wide variation in treatment and resource utilization because of many different disease presentations and treatment options. In an effort to standardize care and improve health outcomes, several organizations have created performance measures to monitor various aspects of IBD care.

objectivesWe aimed to assess longitudinal documentation adherence with physician quality reporting system's (PQRS) IBD performance measures before, immediately after, and 1 year following the implementation of a comprehensive electronic health record (EHR) IBD clinical documentation support tool intervention.

methodsWe reviewed 50 patient charts that were randomly selected from consecutive outpatient IBD visits at our tertiary care center from September 1, 2015 to June 30, 2016, prior to implementation of an IBD-specific note template, order set, and patient education handout on September 1, 2016. Two additional cohorts of 50 patient charts were randomly selected from September 1, 2016 to June 30, 2017 and September 1, 2017 to June 30, 2018. These charts were reviewed to assess adherence of pertinent PQRS performance measures for outpatient IBD care. The project was deemed not human subjects research and received exempt approval by the Institutional Review Board (IRB#: IRB00040399).

resultsThe cohort immediately after the intervention showed significant increases in documentation rates of influenza immunization (19-59%,

conclusionA multifaceted, EHR focused approach can significantly and sustainably improve documentation of outpatient IBD quality measures.

Indexed as

Electronic Health RecordsInflammatory Bowel DiseasesQuality ImprovementAdolescentAdultAgedAged, 80 and overDocumentationFemaleHumansMaleMiddle AgedResearch ReportYoung Adult

Identifiers

PMID31801173
PMCPMC6892659
OpenAlexW2993055800

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.