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COMMENTS & OPINIONS
Beware the Burden of Measurement—Reply
Stephen D. Persell, MD, MPH;
Jason A. Thompson, BA;
Karen S. Kmetik, PhD;
David W. Baker, MD, MPH
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In reply
We agree with Sinsky that clinicians should not be burdened with documenting clinical information solely for the purpose of quality measurement for external reporting. However, collecting standardized data in electronic health records (EHRs) can also be used to improve quality and safety within a practice. Clear examples are computerized clinical decision support for drug-allergy, drug-drug, or drug-condition interactions. In addition, better structured data will improve physician alerts and feedback indicating when important quality goals are not met for preventive services and therapies for patients with chronic disease, such as coronary heart disease. Better decision support becomes possible with better data. Unstructured data cannot be used for practice-wide assessment and improvement. Which of the 5000 patients does not have up-to-date breast, colon, or cervical cancer screening? Who has medical reasons for . . . [Full Text of this Article]
AUTHOR INFORMATION
RELATED LETTER
Beware the Burden of Measurement
Christine A. Sinsky
Arch Intern Med. 2007;167(9):971-972.
EXTRACT
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RELATED ARTICLE
Assessing the Validity of National Quality Measures for Coronary Artery Disease Using an Electronic Health Record
Stephen D. Persell, Jennifer M. Wright, Jason A. Thompson, Karen S. Kmetik, and David W. Baker
Arch Intern Med. 2006;166(20):2272-2277.
ABSTRACT
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