TABLE 2.
Digital Quality Measure Rates and Validation Results
| Diagnosis | Lung Cancer (VA) | Colorectal Cancer (VA) | Lung Cancer (Geisinger) | Colorectal Cancer (Geisinger) |
|---|---|---|---|---|
| Measure (flagged EPs) | 8,063/38,565 (20.9%) | 3,291/14,674 (22.4%) | 275/2,914 (9.4%) | 124/1,649 (7.5%) |
| True positive EPs | 80/100 (95% CI, 71 to 87) | 72/100 (95% CI, 62 to 81) | 86/100 (95% CI, 78 to 92) | 90/100 (95% CI, 82 to 95) |
| Route A | 46 | 52 | 55 | 53 |
| Route B | 21 | 12 | 25 | 30 |
| Route C | 13 | 8 | 6 | 7 |
| False positive EPs | 20/100 | 28/100 | 14/100 | 10/100 |
| Route D (operational false positive) | 6 | 8 | 2 | 1 |
| Invalid diagnosis or emergency care (implementation false positive) | 14 | 20 | 12 | 9 |
| MODs | 39/80 (48.8%; 95% CI, 37.4 to 60.2) | 51/72 (70.8%; 95% CI, 58.9 to 81.0) | 73/86 (84.9%; 95% CI, 75.5 to 91.7) | 70/90 (77.8%; 95% CI, 67.8 to 85.9) |
| Type I MODs (failure to initiate investigation) | 30 (including 19 screening) | 38 (including 11 screening) | 49 (including 11 screening) | 6 |
| Type II MODs (failure to complete investigation) | 6 | 6 | 8 | 11 |
| Combined type I + type II MODs | 3 | 7 | 5 | 39 (including 14 screening) |
NOTE. All values are patients, No. except where indicated.
Abbreviations: EP, emergency presentation; MOD, missed opportunity for diagnosis; VA, Veterans Affairs.