Article Document Academic Article Information Content Entity Journal Article Continuant Continuant Entity Entity Generically Dependent Continuant 2025-05-07T17:30:13 RDF description of Primary care practices' abilities and challenges in using electronic health record data for quality improvement - http://repository.healthpartners.com/individual/document-rn2738 Health Affairs Primary care practices' abilities and challenges in using electronic health record data for quality improvement 16312 Economics public 37 Medical Records Systems, Computerized Primary Health Care Quality Improvement 4 2022-02-21T22:48:57.408-06:00 <p>Federal value-based payment programs require primary care practices to conduct quality improvement activities, informed by the electronic reports on clinical quality measures that their electronic health records (EHRs) generate. To determine whether EHRs produce reports adequate to the task, we examined survey responses from 1,492 practices across twelve states, supplemented with qualitative data. Meaningful-use participation, which requires the use of a federally certified EHR, was associated with the ability to generate reports-but the reports did not necessarily support quality improvement initiatives. Practices reported numerous challenges in generating adequate reports, such as difficulty manipulating and aligning measurement time frames with quality improvement needs, lack of functionality for generating reports on electronic clinical quality measures at different levels, discordance between clinical guidelines and measures available in reports, questionable data quality, and vendors that were unreceptive to changing EHR configuration beyond federal requirements. The current state of EHR measurement functionality may be insufficient to support federal initiatives that tie payment to clinical quality measures.<p> 10866 Research Design 10.1377/hlthaff.2017.1254 document-rn2738