Electronic health record systems: the vehicle for implementing performance measures.
Electronic health record systems: the vehicle for implementing performance measures.
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DOI：
10.1111/j.1541-9215.2005.04390.x
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发表时间：
2005-01-01
期刊：
影响因子：
--
通讯作者：
Bufalino, Vincent J
中科院分区：
文献类型：
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作者：
O'Toole, Michael F;Kmetik, Karen S;Bufalino, Vincent J
信息技术的进步和最近的国家指令有可能支持医疗保健的显著改善。两个关键组成部分是实施功能性电子健康记录系统和被广泛接受的、以证据为基础的医生临床绩效衡量标准。中西部心脏专家是一个由55名医生组成的心血管组织，在伊利诺伊州北部的14个地点，自1997年以来一直使用门诊电子健康记录系统。自2003年以来，该组织将由美国医学会召集的医生联盟为提高绩效而开发的心血管测量集整合到其电子健康记录系统中。通过这种整合，该小组能够捕获内部质量评估和改进所需的数据，作为常规门诊护理的一部分，而不需要额外的资源。决策支持的关键疾病管理数据持续可用，从而改善了卫生保健。这些标准化数据的报告可能是支持基于质量的报销战略和基于医生办公室的疾病管理战略的基础。
Advances in information technology and recent national directives have the potential to support dramatic improvements in health care. Two key components are the implementation of functional electronic health record systems and widely accepted, evidence-based clinical performance measures for physicians. Midwest Heart Specialists, a 55-physician cardiovascular group at 14 locations in northern Illinois, has utilized an outpatient electronic health record system since 1997. Since 2003, the group has integrated cardiovascular measurement sets developed by the American Medical Association-convened Physician Consortium for Performance Improvement into its electronic health record system. With this integration, the group was able to capture data needed for internal quality assessment and improvement as part of routine outpatient care without the need for additional resources. Critical disease-management data for decision support are available continuously, resulting in improvements in health care. The reporting of these standardized data could be the foundation to support quality-based reimbursement strategies and physician office-based disease-management strategies.