Related Experiment Video
Updated: May 9, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Missed opportunities mapping: computable healthcare quality improvement
Benjamin Brown1, Richard Williams, John Ainsworth
1Centre for Health Informatics, Institute of Population Health, University of Manchester and Manchester Academic Health Science Centre, UK.
Studies in Health Technology and Informatics
|August 8, 2013
Summary
Analyzing electronic health records identified missed opportunities in cardiovascular disease care. A new computational model found 32% of patients had suboptimal blood pressure control, improving detection by 4% when using integrated measurements.
Area of Science:
- Computational modeling
- Health informatics
- Cardiovascular disease research
Background:
- Analyzing deviations from established care pathways after adverse health outcomes can reveal areas for healthcare improvement.
- Electronic health records (EHRs) contain valuable data for identifying care variations.
Purpose of the Study:
- To develop and apply a computational model for comparing observed versus expected care within patient pathways.
- To identify missed opportunities in blood pressure (BP) control for cardiovascular disease (CVD) patients using EHR data.
Main Methods:
- Developed a computational model for pathway searches of coded EHRs.
- Applied the model to analyze BP control and CVD events in Salford, UK.
- Summarized BP control using the integral of serial measurements.
Main Results:
- A missed opportunities mapping (MOM) model was used to define CVD scenarios.
- In 3718 CVD patients (2007-2012), 1186 (32%) had suboptimal BP control.
- Using the integral of BP measurements increased missed opportunity detection to 36% compared to using only the most recent BP reading.
Conclusions:
- The MOM model effectively encodes care pathways and searches EHRs to detect deviations from expected care.
- This model has the potential to enhance healthcare quality at both individual patient and population levels.
- Further research is recommended to apply the MOM model to other disease areas.
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:
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
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...
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...