J Am Med Inform Assoc - Agreement of Medicaid claims and electronic health records for assessing preventive care quality among adults.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ ehr(2073) health(1662) electron(1139) }
{ measur(2081) correl(1212) valu(896) }
{ data(1737) use(1416) pattern(1282) }
{ assess(1506) score(1403) qualiti(1306) }
{ perform(1367) use(1326) method(1137) }
{ data(2317) use(1299) case(1017) }
{ cancer(2502) breast(956) screen(824) }
{ risk(3053) factor(974) diseas(938) }
{ record(1888) medic(1808) patient(1693) }
{ age(1611) year(1155) adult(843) }
{ group(2977) signific(1463) compar(1072) }
{ can(774) often(719) complex(702) }
{ featur(3375) classif(2383) classifi(1994) }
{ care(1570) inform(1187) nurs(1089) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ system(1050) medic(1026) inform(1018) }
{ data(3008) multipl(1320) sourc(1022) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ result(1111) use(1088) new(759) }
{ method(1969) cluster(1462) data(1082) }
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{ model(2220) cell(1177) simul(1124) }
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{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
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{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

To compare the agreement of electronic health record (EHR) data versus Medicaid claims data in documenting adult preventive care. Insurance claims are commonly used to measure care quality. EHR data could serve this purpose, but little information exists about how this source compares in service documentation. For 13 101 Medicaid-insured adult patients attending 43 Oregon community health centers, we compared documentation of 11 preventive services, based on EHR versus Medicaid claims data. Documentation was comparable for most services. Agreement was highest for influenza vaccination (= 0.77; 95% CI 0.75 to 0.79), cholesterol screening (=0.80; 95% CI 0.79 to 0.81), and cervical cancer screening (=0.71; 95% CI 0.70 to 0.73), and lowest on services commonly referred out of primary care clinics and those that usually do not generate claims. EHRs show promise for use in quality reporting. Strategies to maximize data capture in EHRs are needed to optimize the use of EHR data for service documentation.

Resumo Limpo

compar agreement electron health record ehr data versus medicaid claim data document adult prevent care insur claim common use measur care qualiti ehr data serv purpos littl inform exist sourc compar servic document medicaidinsur adult patient attend oregon communiti health center compar document prevent servic base ehr versus medicaid claim data document compar servic agreement highest influenza vaccin ci cholesterol screen ci cervic cancer screen ci lowest servic common refer primari care clinic usual generat claim ehr show promis use qualiti report strategi maxim data captur ehr need optim use ehr data servic document

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