TABLE 3.
Mean scores for 28 data elements across 3 clinical quality measure feasibility components, calculated from assessments provided by reviewers from 4 emergency physician groups
| Clinical quality measure feasibility components | ||||||
|---|---|---|---|---|---|---|
| EHR focus area | Workflow a | Data availability b | Data accuracy c | |||
| Data element | Mean | SD | Mean | SD | Mean | SD |
| Demographics and visit details | ||||||
| Patient sex | 3.00 | 0 | 3.00 | 0 | 3.00 | 0 |
| Patient zip code | 2.28 | 0.9 | 3.00 | 0 | 3.00 | 0 |
| Visit start date and time | 2.71 | 0.4 | 3.00 | 0 | 3.00 | 0 |
| Visit end date and time | 2.71 | 0.4 | 3.00 | 0 | 2.45 | 0.5 |
| Rendering practitioner | 2.71 | 0.4 | 3.00 | 0 | 3.00 | 0 |
| Medical record number | 2.71 | 0.4 | 3.00 | 0 | 2.28 | 0.9 |
| Insurance information | ||||||
| Insurance company | 2.28 | 0.9 | 3.00 | 0 | 2.45 | 0.5 |
| Insurance plan | 2.28 | 0.9 | 3.00 | 0 | 2.71 | 0.4 |
| Documentation date | 1.41 | 0.5 | 1.73 | 1.0 | 1.86 | 0.7 |
| Visit diagnosis | ||||||
| Diagnosis code | 2.71 | 0.4 | 2.71 | 0.4 | 2.21 | 0.4 |
| Diagnosis description | 3.00 | 0 | 2.71 | 0.4 | 2.21 | 0.4 |
| Problem history | ||||||
| Documentation date | 2.06 | 0.8 | 2.06 | 0.8 | 1.86 | 0.7 |
| Resolution date | 1.41 | 0.5 | 1.86 | 0.7 | 1.41 | 0.5 |
| Practice code | 1.68 | 0.4 | 2.71 | 0.4 | 2.45 | 0.5 |
| Practice description | 2.71 | 0.4 | 2.71 | 0.4 | 2.21 | 0.4 |
| Laboratory results | ||||||
| Result date and time | 2.71 | 0.4 | 2.71 | 0.4 | 1.57 | 0.8 |
| Practice code | 1.73 | 1.0 | 1.57 | 0.8 | 1.57 | 0.8 |
| Practice description | 2.45 | 0.5 | 2.71 | 0.4 | 1.41 | 0.5 |
| Result value | 2.28 | 0.9 | 2.71 | 0.4 | 1.41 | 0.5 |
| Reference range | 2.71 | 0.4 | 2.71 | 0.4 | 1.41 | 0.5 |
| Medications | ||||||
| Medication name | 2.45 | 0.5 | 3.00 | 0 | 2.21 | 0.4 |
| Medication route | 2.71 | 0.4 | 3.00 | 0 | 2.45 | 0.5 |
| Medication dose | 2.71 | 0.4 | 3.00 | 0 | 2.45 | 0.5 |
| Medication start date and time | 2.28 | 0.9 | 2.71 | 0.4 | 1.57 | 0.8 |
| Medication stop date and time | 1.57 | 0.8 | 1.57 | 0.8 | 1.32 | 0.9 |
| Social history | ||||||
| Social history type | 2.45 | 0.5 | 2.45 | 0.5 | 1.86 | 0.7 |
| Social history observation | 2.45 | 0.5 | 2.45 | 0.5 | 1.86 | 0.7 |
| Documentation date | 1.57 | 0.8 | 1.41 | 0.5 | 1.41 | 0.5 |
Note: A score of 3 indicates a high level of feasibility, 2 indicates a moderate level of feasibility, and 1 indicates a low level of feasibility. Specific score criteria (3, 2, or 1) for each component are described in Table S1.
Abbreviations: EHR, electronic health record; SD, standard deviation.
aWorkflow Assessment Question: To what degree is the data element captured during the course of care? How does it impact the typical workflow for that user?
bData Availability Assessment Question: Is the data readily available in a structured format?
cData Accuracy Assessment Question: Is the information contained in the data element correct? Are the data source and recorder specified?