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Table 4. Near-term Measure Opportunities

Table 4. Near-term Measure Opportunities

Measurement Approach

Specific Measure Concepts

Data Source(s)

Use Meaningful Use measure data elements in new measures of care coordination

Go to Tables 1, 2, and 3 for lists of data elements

Certified EHRs from providers and hospitals participating in the Meaningful Use incentive program

Use CCD/CCR messages to confirm transmission of key pieces of information during care transitions

CCD/CCR transmitted following hospital discharge or referral to specialist CCD/CCR sections for the medication list, problem list, lab results included among information transmitted. Contents of CCD/CCR not examined)

Numerator: EHR or HIE*

Denominator: claims data (APCD, HIE* [if includes claims data], payer files)

Use EHR data to confirm inclusion of key information from other health care settings within primary care record

Primary care EHR contains information on hospitalization (e.g., discharge summary) or specialist visits (e.g., clinical summary) that occurred outside the primary care clinic system

Numerator: EHR

Denominator: claims data (APCD, HIE* [if includes claims data], payer files)

Use EHR audit files to evaluate whether information transferred from other settings is viewed by providers.

Discharge summary received from hospital is opened by PCP or nurse within certain timeframe.

Clinical summary from specialist consult is viewed before or during follow-up visit.

Numerator and denominator: EHR audit files

Use claims data to confirm follow-up care occurred within expected time frame

Percent of patients discharged from the hospital with certain conditions who have a visit with an outpatient provider within a certain timeframe

Numerator and denominator: APCDs or HIE* (if includes claims data) or payer files

Use claims data to examine instances of redundant testing

  • Repetition of a particular imaging study within a set timeframe: surrounding an inpatient admission for a particular diagnosis.
  • Ordered by different outpatient providers at visits with the same principal diagnosis.

Numerator and denominator: APCDs or HIE* (if includes claims data) or payer files

Would be enhanced by addition of clinical data from EHR or HIE*

APCD—all-payer claims database; CCD—continuity of care document; CCR—continuity of care record; EHR—electronic health record; HIE—health information exchange

*HIEs are only a data source if they include a data repository that stores data rather than just transmitting it.

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Current as of March 2012
Internet Citation: Table 4. Near-term Measure Opportunities. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/prospectscare/prosptab4.html