309864
Building EHR-derived quality measures for clinical quality improvement and population health measurement
Objective/Purpose: Using structured data captured in EPMs & EHRs for clinical quality improvement and population health measurement in reproductive health.
Methods: An interdisciplinary team of experts from PPFA and the EHR vendor worked together to build quality reports based on Healthcare Effectiveness Data & Information Set (HEDIS) performance measures. Reports were created using an iterative process of piloting and conducting data quality assessments using HEDIS measure specifications.
Results: Standardized quality reports were created in the QIW for four HEDIS measures relevant to reproductive health care; chlamydia screening, cervical cancer screening, BMI, and smoking cessation. Affiliates are able to run these reports at the affiliate, health center, provider, and payer levels. PPFA sends affiliates quarterly reports comparing them to other affiliates as well as national benchmarks and provides tools and resources for making improvements.
Discussion/Conclusions: Many opportunities and challenges developed during the designing, building, and implementation of the quality measures. Building measures with clearly defined specifications such as HEDIS can be the first step in establishing a continuous quality improvement infrastructure.
Learning Areas:
Clinical medicine applied in public healthCommunication and informatics
Protection of the public in relation to communicable diseases including prevention or control
Learning Objectives:
Demonstrate the ability to use EHR-derived data for quality measurement and improvement initiatives
Keyword(s): Reproductive Health
Qualified on the content I am responsible for because: I serve as the Director of Clinical Quality Improvement for Planned Parenthood Federation of America. In this role, I am responsible for establishing and managing a national clinical quality improvement structure that is focused on measuring and improving health outcomes through the use of standardized quality measures for over 700 health centers. I have worked in the field of clinical quality improvement for eight years, using data derived from electronic health records for quality improvement.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.