What Are the Expectations for the EHR to Perform Measurement?

The current process for measuring quality using EHRs is evolving. Most existing measures have not been written in a format to allow direct queries to EHRs to extract data. Much of the information needed to evaluate these existing measures is based on information from claims submitted for payment or from human abstractors who review medical records in detail to know whether the measure criteria are met. Some measures use clinical data that is available because it is included in claims attachments, specifically laboratory results and pharmacy-dispensing data. Using such clinically enriched claims information is a step forward for measurement, but it is not able to take advantage of the ...

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