Electronic clinical quality measure reporting challenges: findings from the Medicare EHR Incentive Program's Controlling High Blood Pressure Measure

Journal of the American Medical Informatics Association : JAMIA
Dawn Heisey-GroveJanet S Wright

Abstract

To identify physician and practice characteristics associated with high clinical and technical performance on the electronic clinical quality measure (eCQM) that calculates the proportion of patients with hypertension who have controlled blood pressure. The study included 268 602 physicians participating in the Medicare Electronic Health Record Incentive Program between 2011 and 2014. Independent variables included delivery reform participation and physician, practice level, and area characteristics. Successful technical performance was a reported eCQM with non-zero values in both the numerator and denominator. Successful clinical performance was a reported eCQM value of ≥70% hypertension control. Physicians with longer experience using certified health information technology, participants in delivery reform programs, and specialists that traditionally manage hypertension were 5%-15% more likely to achieve 70% control. Physicians in smaller and rural practices and a subset of physicians unlikely to primarily manage hypertension were more likely to submit measures with a zero value in either the numerator or denominator. More physicians are using eCQMs to track and report their quality improvement efforts. This research presents...Continue Reading

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Citations

Aug 23, 2018·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Christiane T LaBonteLaura L Sessums
Jun 4, 2019·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Kevin BrooksKathleen Oberst
Mar 7, 2020·Circulation. Cardiovascular Quality and Outcomes·Mark J PletcherRhonda M Cooper-DeHoff
Feb 24, 2020·International Journal of Medical Informatics·Daniel J FellerLena Mamykina
Mar 7, 2021·Journal of the American Medical Informatics Association : JAMIA·Nate C ApathyChristopher A Harle
Apr 6, 2021·Health Affairs·David R NerenzLaurent G Glance

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