Hospitals Face Challenges Using Electronic Health Records to Generate Clinical Quality Measures
AHA commissioned a study to investigate hospital experiences with implementation of meaningful use stage 1 electronic clinical quality measures (eCQMs). The study describes the experience with and impact of eCQM implementation in four hospitals. Based on the experiences, the current approach to automated quality reporting does not yet deliver on the promise of feasibility, validity and reliability of measures or the reduction in reporting burden placed on hospitals. Specific policy changes are needed, starting with meaningful use stage 2, to redirect the electronic clinical quality reporting requirements to focus on a small set of well-tested measures supported by a mature policy infrastructure.