000003056 001__ 3056 000003056 005__ 20251023132815.0 000003056 0247_ $$2DOI$$a10.6083/M4N015NP 000003056 037__ $$aETD 000003056 245__ $$aClinical quality measurement: a validation study 000003056 260__ $$bOregon Health and Science University 000003056 269__ $$a2017 000003056 336__ $$aDissertation 000003056 502__ $$bPh.D. 000003056 520__ $$aToday, in spite of significant advancements that have been made in information technology and medicine, the U.S. health care system continues to struggle with achieving consensus and implementing standards for the delivery of clinical quality across the health care system. As a result the U.S. health care community continues to struggle with uniformly disseminating quality care across all patients. Challenges with quality of care are compounded by the high cost of care. One way to address the issues of high cost and varying quality was to implement legislation to help obtain better health information to support clinical care. To this end, the Centers for Medicare and Medicaid Services (CMS) have instituted a policy requiring Medicare providers to report on clinical quality. The primary goal of the study was to assess the accuracy of measure guidelines using electronic health record (EHR) data and to compute quality measures using an EHR-based algorithm and the NQF guidelines. 000003056 540__ $$fCC BY 000003056 542__ $$fIn copyright - single owner 000003056 650__ $$aHabits$$019798 000003056 650__ $$aDelivery of Health Care$$017452 000003056 650__ $$aQuality of Health Care$$025031 000003056 650__ $$aElectronic Health Records$$038928 000003056 650__ $$aQuality Indicators, Health Care$$032041 000003056 6531_ $$aemeasure 000003056 6531_ $$aoutcome assessment (health care) 000003056 6531_ $$aclinical quality measure 000003056 691__ $$aSchool of Medicine$$041369 000003056 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422 000003056 7001_ $$aAkiwumi, Olubumi$$uOregon Health and Science University$$041354 000003056 7201_ $$aChiang, Michael$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor$$eMentor 000003056 8564_ $$97ae25885-a2ca-4cf1-a8ec-ad6d1340a014$$s981552$$uhttps://digitalcollections.ohsu.edu/record/3056/files/3886_etd.pdf$$ePublic$$22fc7c6427c7e9a94bfe1316505a44f65$$31 000003056 905__ $$a/rest/prod/6m/31/1p/59/6m311p59w 000003056 909CO $$ooai:digitalcollections.ohsu.edu:3056$$pstudent-work 000003056 980__ $$aTheses and Dissertations