Performance measures using electronic health records : five case studies Fowles, Jinnet Briggs, author. Kind, Elizabeth A., author. Awwad, Shadi, author. Weiner, Jonathan P., author. Chan, Kitty S., author. Coon, Patricia J., author. Krizak, James T., author. Dancha, Lynne, author. Jarvis, Nancy, author. Sittig, Dean F., author. Hazlehurst, Brian L., author. Selna, Mark J., author. Commonwealth Fund, author. Medical Records Systems, Computerized Quality Assurance, Health Care Quality Indicators, Health Care This report examines the experiences of five provider organizations in developing, testing, and implementing quality-of-care indicators, based on data collected from their electronic health record (EHR) systems. HealthPartners used the EHR to compile blood pressure measurements, Park Nicollet Health Services developed a composite measure for care of people with diabetes, Billings Clinic tested an automatic alert on potential interactions between antibiotics and the anticoagulant warfarin, Kaiser Permanente used a natural-language processing tool for counseling about tobacco use, and Geisinger Health System explored ways of reconciling Problem Lists and provider-visit notes regarding high-impact chronic-disease diagnoses. Common themes emerged from these case studies. They included challenges--of ensuring the validity and reliability of data, efficient workflow, and staff support--but the providers' successes in implementing their respective EHR-based quality measures demonstrated that such measures are adaptable to different EHR systems, amenable to improvement, and worth pursuing. [New York, N.Y.] : Commonwealth Fund, May 2008 Case Reports Technical Report Text Illustrations 1 online resource (1 PDF file (viii, 38 pages)) nlm:nlmuid-101504944-pdf 101504944 http://resource.nlm.nih.gov/101504944 English United States Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. https://creativecommons.org/licenses/by/4.0