Comparison of Electronic Health Record-Based and Claims-Based Diabetes Care Quality Measures: Causes of Discrepancies.

ABSTRACT:

Objective

To investigate magnitude and sources of discrepancy in quality metrics using claims versus electronic health record (EHR) data.

Study design

Assessment of proportions of HbA1c and LDL testing for people ascertained as diabetic from the respective sources. Qualitative interviews and review of EHRs of discrepant cases.

Data collection/extraction

Claims submitted to Rhode Island Medicaid by three practice sites in 2013; program-coded EHR extraction; manual review of selected EHRs.

Principal findings

Of 21,030 adult Medicaid beneficiaries attributed to a primary care patient at a site by claims or EHR data, concordance on assignment ranged from 0.30 to 0.41. Of patients with concordant assignment, the ratio of patients ascertained as diabetic by EHR versu

SUBMITTER: Laws MB 

PROVIDER: S-EPMC6056571 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature