RT Journal Article
SR Electronic
T1 The Ability of Primary Care Practices to Measure and Report on Care Quality
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 316
OP 320
DO 10.3122/jabfm.2023.230116R1
VO 37
IS 2
A1 Parchman, Michael L.
A1 Baldwin, Laura-Mae
A1 Howell, Ross
A1 Hummel, Jeffrey
YR 2024
UL http://www.jabfm.org/content/37/2/316.abstract
AB Background: Creating useful clinical quality measure (CQM) reports in a busy primary care practice is known to depend on the capability of the electronic health record (EHR). Two other domains may also contribute: supportive leadership to prioritize the work and commit the necessary resources, and individuals with the necessary health information technology (IT) skills to do so. Here we describe the results of an assessment of the above 3 domains and their associations with successful CQM reporting during an initiative to improve smaller primary care practices’ cardiovascular disease CQMs.Methods: The study took place within an AHRQ EvidenceNOW initiative of external support for smaller practices across Washington, Oregon and Idaho. Practice facilitators who provided this support completed an assessment of the 3 domains previously described for each of their assigned practices. Practices submitted 3 CQMs to the study team: appropriate aspirin prescribing, use of statins when indicated, blood pressure control, and tobacco screening/cessation.Results: Practices with advanced EHR reporting capability were more likely to report 2 or more CQMs. Only one-third of practices were “advanced” in this domain, and this domain had the highest proportion of practices (39.1%) assessed as “basic.” The presence of advanced leadership or advanced skills did not appreciably increase the proportion of practices that reported 2 or more CQMs.Conclusions: Our findings support previous reports of limited EHR reporting capabilities within smaller practices but extend these findings by demonstrating that practices with advanced capabilities in this domain are more likely to produce CQM reports.