The Medicare Electronic Health Record Incentive Program: provider performance on core and menu measures.
The Medicare Electronic Health Record Incentive Program: provider performance on core and menu measures.
复制标题
医疗保险电子健康记录激励计划：提供者在核心和菜单措施方面的表现。
DOI：
10.1111/1475-6773.12134
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发表时间：
2014
影响因子：
3.4
通讯作者：
Sittig,DeanF
中科院分区：
文献类型：
--
作者：
Wright,Adam;Feblowitz,Joshua;Samal,Lipika;McCoy,AllisonB;Sittig,DeanF
目的衡量合格医疗保健提供者在CMS有意义使用措施方面的表现。数据源医疗保险电子健康记录激励计划合格专业人员公共使用文件（PUF），其中包含截至5月31日的237，267名合格提供者的有意义使用证明数据，2013.Study Design对PUF中报告的与使用EHR功能有关的15个核心和10个菜单措施进行了横截面分析。主要发现数据集中的供应商在所有核心指标上表现强劲措施，对15项措施中的每一项措施的最常见反应是90- 100%的遵守率，即使特定措施的阈值较低（例如，30%）。PCP在计算机化订单输入、维护有效药物列表和记录生命体征方面的得分高于专家，而专家在维护问题列表、记录患者人口统计学和吸烟状况以及为患者提供访视后总结方面的得分更高。事实上，90.2%的合格供应商声称至少有一个排除，一半声称两个或更多。ConclusionsProviders成功地证明CMS的要求，并经常超过CMS所需的阈值;然而，一些令人不安的模式排除是存在的。CMS应在未来几年提高方案要求。
ObjectiveTo measure performance by eligible health care providers on CMS's meaningful use measures.Data SourceMedicare Electronic Health Record Incentive Program Eligible Professionals Public Use File (PUF), which contains data on meaningful use attestations by 237,267 eligible providers through May 31, 2013.Study DesignCross‐sectional analysis of the 15 core and 10 menu measures pertaining to use of EHR functions reported in the PUF.Principal FindingsProviders in the dataset performed strongly on all core measures, with the most frequent response for each of the 15 measures being 90–100 percent compliance, even when the threshold for a particular measure was lower (e.g., 30 percent). PCPs had higher scores than specialists for computerized order entry, maintaining an active medication list, and documenting vital signs, while specialists had higher scores for maintaining a problem list, recording patient demographics and smoking status, and for providing patients with an after‐visit summary. In fact, 90.2 percent of eligible providers claimed at least one exclusion, and half claimed two or more.ConclusionsProviders are successfully attesting to CMS's requirements, and often exceeding the thresholds required by CMS; however, some troubling patterns in exclusions are present. CMS should raise program requirements in future years.