Related Experiment Video
Updated: Jun 5, 2026
06:05
The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Changes in performance after implementation of a multifaceted electronic-health-record-based quality improvement
Stephen D Persell1, Darren Kaiser, Nancy C Dolan
1Division of General Internal Medicine, Feinberg School of Medicine, Institute for Healthcare Studies, Northwestern University, Chicago, IL 60611, USA. spersell@nmff.org
Medical Care
|December 24, 2010
Summary
Electronic health record (EHR) systems significantly improved quality improvement (QI) for 14 measures by enhancing measurement and clinician feedback. This multifaceted QI intervention accelerated improvement rates for multiple chronic disease and preventive service measures.
Area of Science:
- Health Informatics
- Quality Improvement Science
- Clinical Practice Research
Background:
- Electronic health record (EHR) systems offer significant potential for advancing quality improvement (QI) initiatives.
- EHRs can enhance quality measurement and integrate various QI strategies effectively.
- Optimizing EHRs is crucial for improving healthcare delivery and patient outcomes.
Purpose of the Study:
- To implement and evaluate a multifaceted QI intervention utilizing EHR tools.
- The intervention aimed to enhance quality measurement, including contraindications and patient refusals.
- Key goals included improving point-of-care reminders and providing valid clinician feedback for 16 chronic disease and preventive service measures.
Main Methods:
- A time series analysis was conducted at a large internal medicine practice.
- A commercial EHR system was employed for the study.
- The study included adult patients eligible for each measure, with sample sizes ranging from approximately 100 to 7500.
Main Results:
- Significant performance improvement was observed for 8 measures in the year preceding the intervention.
- Following the intervention, 14 measures showed significant performance improvements.
- The intervention year demonstrated a more rapid improvement rate for 9 measures compared to the previous year (P < 0.001 for 8).
Conclusions:
- A multifaceted QI intervention using EHR tools successfully improved performance and accelerated improvement rates across multiple measures.
- Enhanced quality measurement and timely clinician feedback were key drivers of the observed improvements.
- The study highlights the effectiveness of EHR-integrated QI strategies in advancing healthcare quality.
Related Concept Videos
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:11Purpose of Health Records I
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
01:30Methods of Documentation VII: EMR
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
01:20Integrated Healthcare System
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:21Methods of Documentation III: PIE
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations: