Chapter Review

This chapter discussed some of the challenges inherent in using EHRs to manage data intelligently so that data can be entered once as part of the workflow for usual patient care and reused to improve the care process concurrently with clinical decision support and retrospectively by measuring quality. The change from capturing and reporting information based on a model of use to a model of meaning is not easy, but it has the potential to significantly increase timeliness, efficiency, effectiveness, and safety while reducing redundancy. A consistent model to express information within and among systems is important to enable clear understanding. The Quality Data Model (QDM) provides such a common technological framework for defining ...

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