TY - JOUR
T1 - Leveraging electronic health records to develop measurements for processes of care
AU - Tai-Seale, Ming
AU - Wilson, Caroline J.
AU - Panattoni, Laura
AU - Kohli, Nidhi
AU - Stone, Ashley
AU - Hung, Dorothy Y.
AU - Chung, Sukyung
PY - 2014/4
Y1 - 2014/4
N2 - Objectives To assess the reliability of data in electronic health records (EHRs) for measuring processes of care among primary care physicians (PCPs) and examine the relationship between these measures and clinical outcomes. Data Sources/Study Setting EHR data from 15,370 patients with diabetes, 49,561 with hypertension, in a group practice serving four Northern California counties. Study Design/Methods Exploratory factor analysis (EFA) and multilevel analyses of the relationships between processes of care variables and factor scales with control of hemoglobin A1c, blood pressure (BP), and low density lipoprotein (LDL) among patients with diabetes and BP among patients with hypertension. Principal Findings Volume of e-messages, number of days to the third-next-available appointment, and team communication emerged as reliable factors of PCP processes of care in EFA (Cronbach's alpha = 0.73, 0.62, and 0.91). Volume of e-messages was associated with higher odds of LDL control (≤100) (OR = 1.13, p <.05) among patients with diabetes. Frequent in-person visits were associated with better BP (OR = 1.02, p <.01) and LDL control (OR = 1.01, p <.01) among patients with diabetes, and better BP control (OR = 1.04, p <.01) among patients with hypertension. Conclusions The EHR offers process of care measures which can augment patient-reported measures of patient-centeredness. Two of them are significantly associated with clinical outcomes. Future research should examine their association with additional outcomes.
AB - Objectives To assess the reliability of data in electronic health records (EHRs) for measuring processes of care among primary care physicians (PCPs) and examine the relationship between these measures and clinical outcomes. Data Sources/Study Setting EHR data from 15,370 patients with diabetes, 49,561 with hypertension, in a group practice serving four Northern California counties. Study Design/Methods Exploratory factor analysis (EFA) and multilevel analyses of the relationships between processes of care variables and factor scales with control of hemoglobin A1c, blood pressure (BP), and low density lipoprotein (LDL) among patients with diabetes and BP among patients with hypertension. Principal Findings Volume of e-messages, number of days to the third-next-available appointment, and team communication emerged as reliable factors of PCP processes of care in EFA (Cronbach's alpha = 0.73, 0.62, and 0.91). Volume of e-messages was associated with higher odds of LDL control (≤100) (OR = 1.13, p <.05) among patients with diabetes. Frequent in-person visits were associated with better BP (OR = 1.02, p <.01) and LDL control (OR = 1.01, p <.01) among patients with diabetes, and better BP control (OR = 1.04, p <.01) among patients with hypertension. Conclusions The EHR offers process of care measures which can augment patient-reported measures of patient-centeredness. Two of them are significantly associated with clinical outcomes. Future research should examine their association with additional outcomes.
KW - Primary care
KW - electronic health records
KW - patient-centered care
UR - http://www.scopus.com/inward/record.url?scp=84897424813&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84897424813&partnerID=8YFLogxK
U2 - 10.1111/1475-6773.12126
DO - 10.1111/1475-6773.12126
M3 - Article
C2 - 24236994
AN - SCOPUS:84897424813
SN - 0017-9124
VL - 49
SP - 628
EP - 644
JO - Health Services Research
JF - Health Services Research
IS - 2
ER -