Practice Facilitator Strategies for Addressing Electronic Health Record Data Challenges for Quality Improvement: EvidenceNOW

Article Figures & Data

Download figure
Open in new tab
Figure 1.
Practice Facilitator Strategies for Data driven Quality Improvement Support by Type of Electronic Health Record Data Challenge. ABCS, aspirin use, blood pressure control, cholesterol management, and smoking cessation and counseling; CQMs, clinical quality measures; CVD, cardiovascular disease; EHR, electronic health record; QI, quality improvement.

Table 1.

EvidenceNOW Facilitator and Practice Characteristics, 2015 to 2017

Facilitator Characteristics: Qualitative Data, Collected via Interviews and Site Visits
Number of practices per facilitator	Range: 1 to 35; most facilitators worked with 10 to 20 practices across a 9- to 15-month intervention time frame
Number of in-person facilitator visits to practice	Range: 12 to 28 intended visits across a 9- to 15-month intervention time frame
Facilitator time spent at visit	Range: 30 minutes-4 hours
	Mode: 1 hour
Practice Characteristics: Practice Survey Data, Collected at Intervention Baseline
Size	93% had fewer than 10 clinicians
Ownership	40% were clinician owned; this is the largest of all ownership types
Location	68% were located in urban areas
	35% served medically underserved communities
Practice Health Information Technology Characteristics: Practice Survey Data, Collected at Intervention Baseline
EHR	90% were using an electronic health record; 83% were certified by The Office of the National Coordinator for Health Information Technology
Reporting capability	62% were participating in meaningful use stages 1 and 2
	26% had an in-house clinician or staff member write/configure clinical quality reports
	38% had an outside service/consultant write/configure clinical quality reports
	17% had no ability to write/configure clinical quality reports
Data fluency	36% reported that they routinely discussed their clinical quality data “often.”