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Slide Presentation from the AHRQ 2007 Annual Conference

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This is the text version of the slide presentation titled Using EMRs for PM, PI, PR, and P4P: Opportunities and Lessons We're Learning.

Select to access the PowerPoint® presentation (825 KB).

Using EMRs for PM, PI, PR, and P4P: Opportunities and Lessons We're Learning

  1. Using EMRs for PM, PI, PR, and P4P: Opportunities and Lessons We're Learning
  2. What We Thought We Knew
  3. We had friends who thought the same: Views on Accuracy of Performance Measures Health Aff. 2007; 26: 492-97
  4. There is evidence Re: unstable and untimely assignment of patients using claims
  5. Some Limitations of Claims for PM, PR, and PI
  6. "EMRs can solve all of these problems" Diabetes Improvement Group—Intervention Trial (DIG-IT*): Overview
  7. Identifying/Locating Patients and Balancing Practices
  8. Random Assignment of Balanced Practices
  9. "Table 1." Pre-trial Characteristics of Practices after Balancing
  10. EMR-Based Patient Assignment
  11. PM/PI/PR—Clinical Decision Support ("DM2")
  12. PM/PI—encounter-based Alerts: Designed to Minimize FPs
  13. PI—SmartSet Linked to ACE/ARB Alert
  14. PI/PR—Practice Panel: Comparative Performance
  15. PM/PI: Registry and Related decision support
  16. Illustrative PM: "ADA Scores" Measured Every Week
  17. Changes in Scores, Exptl Pts (n=5288) Some Measures are Easier To Change than Others
  18. EMRs can Measure Performance in All Patients
  19. PM/PR/P4P: Poor Glucose Control by Race/ethnicity in One System
  20. Poor Glucose Control by Insurance
  21. EMRs for PM, PR, PI, P4P: Some Summary Thoughts
  22. Additional Questions About PM/PR/P4P
  23. Incomplete PM with EMRs alone: Depends on size, financing, functions
  24. HMO vs. Large System with Itinerant Patients—Who's missing data?
  25. HMO vs. Large System without eRx Functions—Who's missing data?
  26. Where are the needed performance data?
  27. Closing Thoughts: Measurement Challenges Using EMRs for P4P (before HIE...)


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