What Changes Are Needed to Enable Electronic Quality Measurement?
The ability to move away from measures that have been developed with the end data in mind (claims and data abstraction) and moving toward a more expansive view of what could and should be measured to improve care is a paradigm shift that measure developers and EHR vendors need to embrace. Retooling of measures developed for a different data source has the potential to expect data in an EHR for which the EHR was not designed. Such measures can be overburdened by potentially unnecessary exclusions and complex measure logic because they are based on a different paradigm of data capture. Ideally, EHRs are not designed to replicate a paper process. They should be designed and implemented ...
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