Volume 14, Issue 5, Pages S82-S89 (September 2014)

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Volume 14, Issue 5, Pages S82-S89 (September 2014) Addressing Electronic Clinical Information in the Construction of Quality Measures L. Charles Bailey, MD, PhD, Kamila B. Mistry, PhD, MPH, Aldo Tinoco, MD, MPH, Marian Earls, MD, MTS, Marjorie C. Rallins, DPM, Kendra Hanley, MS, Keri Christensen, MS, Meredith Jones, MPH, Donna Woods, EdM, PhD Academic Pediatrics Volume 14, Issue 5, Pages S82-S89 (September 2014) DOI: 10.1016/j.acap.2014.06.006 Copyright © 2014 Terms and Conditions

Figure 1 Development cycle for e-measures. MU indicates CMS EHR Incentive Program (Meaningful Use); QDM, National Quality Forum Quality Data Model for specification of data elements, constraints, and measure logic; HQMF, HL7 Consortium Health Quality Measurement Format; and MAT, CMS Measure Authoring Tool, which supports definitions conforming to the QDM, and produces either HQMF or human-readable measure specifications. Academic Pediatrics 2014 14, S82-S89DOI: (10.1016/j.acap.2014.06.006) Copyright © 2014 Terms and Conditions

Figure 2 Examples of e-measurement. (A) Feasibility of e-measures addressing pediatric ADHD at CPSQC institutions. (B) Location of required data for adolescent preventive health quality measures in the EHR of 1 test site. “Discrete data” indicates search of structured data elements; “templated text,” pattern matching in clinical notes; and “risk factor addressed,” relevant data present in the EHR, whether captured or not by the measure definition. (C) Discordance between primary measurement and diagnosis of obesity in EHRs from 6 pediatric networks. Academic Pediatrics 2014 14, S82-S89DOI: (10.1016/j.acap.2014.06.006) Copyright © 2014 Terms and Conditions