Primary Care Practices' Ability to Report Electronic Clinical Quality Measures in the EvidenceNOW Southwest Initiative to Improve Heart Health

JAMA Network Open
Kyle KnierimW Perry Dickinson

Abstract

The capability and capacity of primary care practices to report electronic clinical quality measures (eCQMs) are questionable. To determine how quickly primary care practices can report eCQMs and the practice characteristics associated with faster reporting. This quality improvement study examined an initiative (EvidenceNOW Southwest) to enhance primary care practices' ability to adopt evidence-based cardiovascular care approaches: aspirin prescribing, blood pressure control, cholesterol management, and smoking cessation (ABCS). A total of 211 primary care practices in Colorado and New Mexico participating in EvidenceNOW Southwest between February 2015 and December 2017 were included. Practices were instructed on eCQM specifications that could be produced by an electronic health record, a registry, or a third-party platform. Practices received 9 months of support from a practice facilitator, a clinical health information technology advisor, and the research team. Practices were instructed to report their baseline ABCS eCQMs as soon as possible. The main outcome was time to report the ABCS eCQMs. Cox proportional hazards models were used to examine practice characteristics associated with time to reporting. Practices were predom...Continue Reading

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Citations

Jul 23, 2020·Journal of Clinical and Translational Science·Milton Mickey EderRussell V Luepker
Aug 19, 2020·Journal of General Internal Medicine·Douglas H FernaldW Perry Dickinson

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Clinical Trials Mentioned

NCT02515578

Software Mentioned

NextGen
PRIME
ENSW
SAS

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