Evidence map›Paper›PMID 34180839›Full record

Trial reportAnnals of family medicine

Clinical Quality Measure Exchange is Not Easy.

Robert L Phillips, Lars Peterson, Ted E Palen, Scott A Fields, Michael L Parchman, John Johannides

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

6 authors.

Robert L PhillipsAmerican Board of Family Medicine, Lexington, Kentucky bphillips@theabfm.org.
Lars PetersonAmerican Board of Family Medicine, Lexington, Kentucky.
Ted E PalenColorado Permanente Medical Group, Institute for Health Research, Aurora, Colorado.
Scott A FieldsOCHIN, Portland, Oregon.
Michael L ParchmanKaiser Permanente of Washington Health Research Institute, Seattle, Washington.
John JohannidesAmerican Board of Family Medicine, Lexington, Kentucky.

Funding

Trial of Aggregate Data Extraction for Maintenance of Certification and Raising QR21HS022583 · AHRQ · AMERICAN BOARD OF FAMILY MEDICINE, INC. · PI PHILLIPS, ROBERT · 2014 to 2015
$300k
AHRQ HHS R21 HS022583
6 · The paper itself

Abstract

purposeThe Trial of Aggregate Data Exchange for Maintenance of Certification and Raising Quality was a randomized controlled trial which first had to test whether quality reporting could be a by-product of clinical care. We report on the initial descriptive study of the capacity for and quality of exchange of whole-panel, standardized quality measures from health systems.

methodsFamily physicians were recruited from 4 health systems with mature quality measurement programs and agreed to submit standardized, physician-level quality measures for consenting physicians. Identified measure or transfer errors were captured and evaluated for root-cause problems.

resultsThe health systems varied considerably by patient demographics and payer mix. From the 4 systems, 256 family physicians elected to participate. Of 19 measures negotiated for use, 5 were used by all systems. There were more than 15 types of identified errors including breaks in data delivery, changes in measures, and nonsensical measure results. Only 1 system had no identified errors.

conclusionsThe secure transfer of standardized, physician-level quality measures from 4 health systems with mature measure processes proved difficult. There were many errors that required human intervention and manual repair, precluding full automation. This study reconfirms an important problem, namely, that despite widespread health information technology adoption and federal meaningful use policies, we remain far from goals to make clinical quality reporting a reliable by-product of care.

Indexed as

Medical InformaticsQuality Indicators, Health CareCertificationHumansMeaningful UsePhysicians, Familycertificationfamily physicianshealth carehealth information technologyquality indicatorsquality measures

Identifiers

PMID34180839
PMCPMC8118486

What OpenQuestion holds

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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.