Are Pediatric Quality Care Measures Too Stringent?

Journal Name: 
The Journal of the American Board of Family Medicine
Authors: 
Casciato,Allison
Angier,Heather
Milano,Christina
Gideonse,Nicholas
Gold,Rachel
DeVoe,Jennifer
Abstract: 
Introduction: We aimed to demonstrate the application of national pediatric quality measures, derived from claims-based data, for use with electronic medical record data, and determine the extent to which rates differ if specifications were modified to allow for flexibility in measuring receipt of care.Methods: We reviewed electronic medical record data for all patients up to 15 years of age with GëÑ1 office visit to a safety net family medicine clinic in 2010 (n = 1544). We assessed rates of appropriate well-child visits, immunizations, and body mass index (BMI) documentation, defined strictly by national guidelines versus by guidelines with clinically relevant modifications.Results: Among children aged
9
2012
Volume: 
25
Pages: 
686-693
Keywords: 
10, 2010, adherence, Aged, Body Mass Index, Documentation, electronic, Family, Guidelines, Immunization, medical, Medicine, patient, Patients, population, quality, Record, Safety, utilization, Vaccination