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Slide Presentation from the AHRQ 2007 Annual Conference

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EMRs for PM, PR, PI, P4P: Some Summary Thoughts

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  • Using EMR-centered data, we can:
    • Identify and link patients satisfactorily
    • Identify patients pretty well for whom measures are appropriate (eg, no c/I to ACE/ARBs)
    • Measure performance at a granular level (eg, BMI, A1c)
    • Measure performance on all eligible patients, regardless of race or insurance status
    • Monitor and provide meaningful feedback in a timely way
    • Measure improvement in process and outcomes
  • Some measures are harder to improve than others
  • P4P systems should consider stratifying by insurance, at least.

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