Learning from Primary Care Meaningful Use Exemplars

描述（由申请人提供）：该项目的目标是提供政策相关的评估，以帮助确保经济和临床健康的健康信息技术（HITECH）法案电子健康记录（EHR）有意义的使用（MU）激励计划实际上提高了向美国公众提供的医疗保健质量。重点将放在计划的2014年临床质量测量（CQM）集，基于CQM是MU最重要的方面的观点。PPRNet是一个由AHRQ赞助的基于初级保健实践的研究和学习中心，将在一个已经在这一领域工作了十多年的初级保健实践的多样化队列中进行评估。PPRNet是一个独特的，经验丰富的国家EHR为基础的实践为基础的研究网络，其中200多个初级保健的做法与1200多个供应商在41个国家。该项目有三个独立但相关的目标，每个目标都将为第3阶段MU CQM目标的制定提供信息，并促进初级保健临床医生的采用。这三个目标是评估当前和可实现的基准性能在22个2014年CQM相关的初级保健实践PPRNet的做法，评估之间的关联采用实施理论提出的战略与高性能的质量和测量性能，并征求建议，从最高性能的做法，以提高第3阶段MU CQM目标。总的来说，这些评估的结果将有助于政策制定者了解CQM绩效的现实基准，初级保健实践所需的战略，以实现高绩效，以及如何提高MU目标，以产生最大的影响，为美国公众提供医疗保健的质量。

DESCRIPTION (provided by applicant): This project's objective is to provide policy relevant evaluations to help assure that the Health Information Technology for Economic and Clinical Health (HITECH) Act electronic health records (EHR) meaningful use (MU) incentive program actually improves the quality of healthcare provided to the American public. The focus will be on the planned 2014 clinical quality measure (CQM) set, based on the perspective that CQM are the most important aspect of MU. PPRNet, an AHRQ-sponsored Center for Primary Care Practice-Based Research and Learning, will conduct the evaluations in a diverse cohort of primary care practices that have been working in this area for more than a decade. PPRNet is a unique and experienced national EHR-based practice based research network among more than 200 primary care practices with more than 1200 providers in 41 States. The project has three separate but related Aims that will each inform the development of Stage 3 MU CQM objectives and facilitate their adoption by primary care clinicians. The three aims are to assess current and achievable benchmark performance across twenty-two 2014 CQMs relevant to primary care practice in PPRNet practices, assess the association between the adoption of strategies posited by implementation theories to be associated with high performance on quality and measured performance, and solicit recommendations from the highest performing practices to improve Stage 3 MU CQM objectives. In the aggregate, the findings from these evaluations will help policy makers understand realistic benchmarks for CQM performance, the strategies required by primary care practices to achieve high performance, and how the MU objectives can be improved to yield the greatest impact on quality of healthcare provided to the American public.