TY - JOUR
KW - Child
KW - Child Development/physiology
KW - Child, Preschool
KW - Developmental Disabilities/diagnosis
KW - Female
KW - Health Plan Implementation
KW - Humans
KW - Infant
KW - Male
KW - Mass Screening/standards
KW - Medical Records Systems, Computerized/utilization
KW - Pediatrics/standards
KW - Primary Health Care/methods
KW - Quality Indicators, Health Care
KW - Reproducibility of Results
KW - Risk Assessment
KW - Total Quality Management
KW - United States
AU - R. E. Jensen
AU - K. S. Chan
AU - J. P. Weiner
AU - J. B. Fowles
AU - S. M. Neale
A1 - 
AB - OBJECTIVE: The goal was to examine the current abilities and future potential of electronic health record (EHR) systems to measure childhood developmental screening and follow-up rates in primary care settings. METHODS: A group of pediatric clinicians and health informatics experts was convened to develop quality indicators reflecting different aspects of the developmental screening process. These indicators included the administration of a standardized, validated instrument to screen children for developmental delays, the documentation of abnormal screening results, and the provision of follow-up care. Six integrated provider systems across the United States, with fully implemented EHR systems, were evaluated to determine the feasibility of implementing these measures within each system. Barriers related to measure implementation were identified. RESULTS: The EHR systems of all 6 health care organizations could implement measures examining developmental screening rates and could identify and track children with abnormal screening results. However, most of the systems did not have the ability to capture data for more-complex EHR-based measures. In particular, data elements based on workflow actions could not be captured with current EHR system designs. CONCLUSIONS: This study identified 2 main barriers to the implementation of developmental quality measures: concerns about data reliability and the tracking of care coordination within patient records. Potential solutions to these problems, including terminology standardization, patient portal use, and use of a single developmental screening instrument, are discussed.
BT - Pediatrics
C5 - HIT & Telehealth
CP - 4
CY - United States
DO - 10.1542/peds.2008-3091
IS - 4
JF - Pediatrics
N2 - OBJECTIVE: The goal was to examine the current abilities and future potential of electronic health record (EHR) systems to measure childhood developmental screening and follow-up rates in primary care settings. METHODS: A group of pediatric clinicians and health informatics experts was convened to develop quality indicators reflecting different aspects of the developmental screening process. These indicators included the administration of a standardized, validated instrument to screen children for developmental delays, the documentation of abnormal screening results, and the provision of follow-up care. Six integrated provider systems across the United States, with fully implemented EHR systems, were evaluated to determine the feasibility of implementing these measures within each system. Barriers related to measure implementation were identified. RESULTS: The EHR systems of all 6 health care organizations could implement measures examining developmental screening rates and could identify and track children with abnormal screening results. However, most of the systems did not have the ability to capture data for more-complex EHR-based measures. In particular, data elements based on workflow actions could not be captured with current EHR system designs. CONCLUSIONS: This study identified 2 main barriers to the implementation of developmental quality measures: concerns about data reliability and the tracking of care coordination within patient records. Potential solutions to these problems, including terminology standardization, patient portal use, and use of a single developmental screening instrument, are discussed.
PP - United States
PY - 2009
SN - 1098-4275; 0031-4005
EP - 54
EP - e648+
T1 - Implementing electronic health record-based quality measures for developmental screening
T2 - Pediatrics
TI - Implementing electronic health record-based quality measures for developmental screening
U1 - HIT & Telehealth
U2 - 19786425
U3 - 10.1542/peds.2008-3091
VL - 124
VO - 1098-4275; 0031-4005
Y1 - 2009
ER -