Learning from Primary Care Meaningful Use Exemplars

描述(由申请者提供)：该项目的目标是提供与政策相关的评估，以帮助确保《健康信息技术促进经济和临床健康法案》(HITECH)电子健康记录(EHR)有意义的使用(MU)激励计划确实提高了向美国公众提供的医疗保健的质量。重点将放在计划中的2014年临床质量衡量(CQM)集上，基于CQM是MU最重要的方面的观点。PPRNet是AHRQ赞助的基于初级保健实践的研究和学习中心，将在这一领域工作了十多年的初级保健实践的不同队列中进行评估。PPRNet是一个独特和经验丰富的以电子病历为基础的国家实践研究网络，涉及41个州的200多个初级保健实践和1200多个提供者。该项目有三个独立但相关的目标，每个目标都将为第三阶段MU CQM目标的制定提供信息，并促进初级保健临床医生采用这些目标。这三个目标是评估与PPRNet实践中的初级保健实践相关的22个2014年CQM的当前和可实现的基准绩效，评估采用实施理论假设的与高质量绩效相关的战略与所测量的绩效之间的关联，以及征求绩效最高的实践的建议，以改进阶段3 MU CQM目标。总体而言，这些评估的结果将帮助政策制定者了解CQM绩效的现实基准、初级保健实践实现高绩效所需的战略，以及如何改进MU目标以对向美国公众提供的医疗质量产生最大影响。

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.