Alignment of eCQMs and Chart Abstracted Measures | Joint Commission
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Alignment of eCQMs and Chart Abstracted Measures

April 28, 2016

Pioneers in Quality Portal - Articles and Publications

  • Completeness, accuracy, and computability of National Quality Forum – specified eMeasures - J Am Med Inform Assoc. 2015 Mar;22(2):409-16
    • Objective: To analyze the completeness, computability, and accuracy of specifications for five National Quality Forum specified (NQF) eMeasures spanning ambulatory, post-discharge, and emergency care within a comprehensive, integrated electronic health record (EHR) environment.  Conclusions:   Five NQF eMeasures fell short of being machine-consumable specifications. Both clinical domain and technological expertise are required to implement manually intensive steps from data mapping to text mining to EHR-specific eMeasure implementation.  The burden of reporting for providers is unlikely to be significantly reduced unless and until eMeasures require minimal or no transformation.

      This article compared eMeasure results to chart abstracted results which is enlightening to the reader. 

      The 5 measures are:
      1. NQF 0012:  prenatal screening for HIV
      2. NQF 0052, use of imaging studies in low back pain
      3. NQF 0097, medication reconciliation
      4. NQF 0137, ACE inhibitor (ACE-I) or angiotensin II receptor blocker (ARB) at discharge for left ventricular systolic dysfunction (LVSD) among patients with acute myocardial infarction (AMI);
      5. NQF 0148, blood cultures in the emergency department before initial antibiotic in the hospital.