Table 2.
Agreement for use of guideline-recommended antihypertensive medications, blood pressure control, and appropriate response to uncontrolled blood pressure
| Rewarded clinical measure | No. (%) pts, manual review data | No. (%) pts, AP-EHR data | Overall agreement | Positive agreement | Negative agreement | Kappa |
|---|---|---|---|---|---|---|
| Use of guideline-recommended medications* | 2054 (72.3) | 1847 (65.0) | 0.79 | 0.85 | 0.66 | 0.51 |
| Controlled BP* | 1974 (69.5) | 1898 (66.8) | 0.94 | 0.96 | 0.91 | 0.87 |
| Appropriate response to uncontrolled BP† | 431 (52.2) | 328 (39.8) | 0.64 | 0.61 | 0.66 | 0.28 |
AP-EHR indicates automated processing of structured fields in the electronic health record; BP blood pressure.
Examined 2,840 patient records.
Among the 825 patients who had uncontrolled blood pressure in both data sources.