Table 2.
Measure (N=150 patients per measure) | Manual chart review (%) |
EHR automated extraction (%) |
Medicaid claims (%) |
---|---|---|---|
BMI assessment received | 88.0 | 88.0 | 0.7 ** |
Blood pressure assessment received | 99.3 | 99.3 | 0 |
Smoking status assessment received | 90.0 | 90.7 | 0 |
Hyperlipidemia screeningc | |||
Ordered | 34.7 | 32.7 | -- |
Received | 32.0 | 32.7 | 36.7 * |
Diabetes screeningd | |||
Ordered | 39.3 | 41.3 | -- |
Received | 37.3 | 38.0 | 39.3 |
Influenza vaccinatione, received | 40.0 | 39.3 | 32.0 * |
Chlamydia screeningf | |||
Ordered | 39.3 | 40.7 | -- |
Received | 40.0 | 40.7 | 54.0 ** |
Cervical cancer screeningg | |||
Ordered | 28.7 | 24.7 | -- |
Received | 27.3 | 26.0 | 28.7 |
Breast cancer screeningh | |||
Ordered | 28.7 | 26.7 | -- |
Received | 30.0 | 11.3 ** | 33.3 |
Colorectal cancer screeningi | |||
Ordered | 26.7 | 23.3 | -- |
Received | 18.7 | 9.33 ** | 20.0 |
Notes: -- Not applicable; claims data measure only services received
Boldface indicates statistical significance p<0.05, McNemar test of agreement exact test, vs manual chart review
Boldface indicates statistical significance p<0.001, McNemar test of agreement exact test, vs manual chart review
Eligibility was based recommended age, sex, and medical history, not whether patient was due for a service
Percentages do not account for whether service provision documentation is for the same patient across data sources
Males and females ages 20-64; cholesterol screening includes LDL, HDL, total cholesterol, and triglycerides
Males and females ages 45-64
Males and females ages 50-64
Sexually active females ages 19-24
Females ages 19-64 with no history of hysterectomy
Females ages 40-64 with no history of bilateral mastectomy
Males and females ages 50-64 with no history of colorectal cancer or total colectomy; colorectal cancer screening includes fecal occult blood test, flexible sigmoidoscopy, and colonoscopy EHR, electronic health record