Improving Performance on Preventive Health Quality Measures Using Clinical Decision Support to Capture Care Done Elsewhere and Patient Exceptions

Am J Med Qual. 2018 May-Jun;33(3):237-245. doi: 10.1177/1062860617732830. Epub 2017 Oct 14.

Abstract

Preventive services required for performance measurement often are completed in outside health systems and not captured in electronic medical records (EMRs). A before-after study was conducted to examine the ability of clinical decision support (CDS) to improve performance on preventive quality measures, capture clinician-reported services completed elsewhere, and patient/medical exceptions and to describe their impact on quality measurement. CDS improved performance on colorectal cancer screening, osteoporosis screening, and pneumococcal vaccination measures ( P < .05) but not breast or cervical cancer screening. CDS captured clinician-reported services completed elsewhere (2% to 10%) and patient/medical exceptions (<3%). Compared to measures using only within-system data, including services completed elsewhere in the numerator improved performance: pneumococcal vaccine (73% vs 82%); breast (69% vs 75%), colorectal (58% vs 70%), and cervical cancer (53% vs 62%); and osteoporosis (72% vs 75%) screening ( P < .05). Visit-based CDS can capture clinician-reported preventive services, and accounting for services completed elsewhere improves performance on quality measures.

Keywords: clinical decision support; preventive care; primary care; quality measurement.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Breast Neoplasms / diagnosis
  • Colorectal Neoplasms / diagnosis
  • Decision Support Systems, Clinical / organization & administration*
  • Early Detection of Cancer / statistics & numerical data
  • Electronic Health Records / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteoporosis / diagnosis
  • Patient-Centered Care / organization & administration
  • Pneumococcal Vaccines / administration & dosage
  • Preventive Health Services / statistics & numerical data*
  • Quality Improvement / organization & administration*
  • Quality Improvement / standards
  • Quality Indicators, Health Care / organization & administration*
  • Quality Indicators, Health Care / standards
  • Uterine Cervical Neoplasms / diagnosis
  • Vaccination / statistics & numerical data

Substances

  • Pneumococcal Vaccines