Utility of Electronic Medical Records in Community Rheumatology Practice for Assessing Quality of Care Indicators for Gout : A Feasibility Study

UBC Faculty Research and Publications

Utility of Electronic Medical Records in Community Rheumatology Practice for Assessing Quality of Care Indicators for Gout : A Feasibility Study Estrada, Augusto; Tsao, Nicole W.; Howren, Alyssa; Esdaile, John; Shojania, Kam; De Vera, Mary

Abstract

Objectives: With comprehensive capture of information on patient encounters, electronic medical records (EMRs) may have utility for assessing adherence to quality indicators (QI) in gout. Our objectives were to translate 10 previously established gout QIs into relevant EMR data and evaluate and describe the feasibility of using EMRs to assess gout QIs. Methods: Using EMRs from three community rheumatology practices in Vancouver, British Columbia, Canada, we identified gout patients seen between January 01, 2012 and December 31, 2013. We translated each gout QI into potential EMR variables that would allow identification of patients the QI pertains to and whether the QI could be assessed. We extracted deidentified EMR data on gout diagnosis, medications, laboratory tests, radiologic tests, and clinical notes and calculated the percent availability of data for each QI. Results: We included 125 patients with gout, with mean age 64 ± 17 years and with males comprising 78%. Overall, there were sufficient EMR data to allow translation of seven QIs and assessment of six QIs including therapy-related gout QIs (69% to 83% data availability) and one counselling-related QI (8% data availability). The highest percent data availability was observed in the single QI translated into EMR data and assessed based on diagnostic codes and prescription medications and not laboratory tests. Conclusions: EMRs are promising tools for assessing QIs for gout. With increased use of EMRs by physicians, our study has implications for informing processes for their enhanced use to improve patient care and outcomes in gout.

Item Metadata

Title	Utility of Electronic Medical Records in Community Rheumatology Practice for Assessing Quality of Care Indicators for Gout : A Feasibility Study
Alternate Title	EMRs and Gout Quality Indicators
Creator	Estrada, Augusto; Tsao, Nicole W.; Howren, Alyssa; Esdaile, John; Shojania, Kam; De Vera, Mary
Contributor	Arthritis Research Canada
Date Issued	2018-03
Description	Objectives: With comprehensive capture of information on patient encounters, electronic medical records (EMRs) may have utility for assessing adherence to quality indicators (QI) in gout. Our objectives were to translate 10 previously established gout QIs into relevant EMR data and evaluate and describe the feasibility of using EMRs to assess gout QIs. Methods: Using EMRs from three community rheumatology practices in Vancouver, British Columbia, Canada, we identified gout patients seen between January 01, 2012 and December 31, 2013. We translated each gout QI into potential EMR variables that would allow identification of patients the QI pertains to and whether the QI could be assessed. We extracted deidentified EMR data on gout diagnosis, medications, laboratory tests, radiologic tests, and clinical notes and calculated the percent availability of data for each QI. Results: We included 125 patients with gout, with mean age 64 ± 17 years and with males comprising 78%. Overall, there were sufficient EMR data to allow translation of seven QIs and assessment of six QIs including therapy-related gout QIs (69% to 83% data availability) and one counselling-related QI (8% data availability). The highest percent data availability was observed in the single QI translated into EMR data and assessed based on diagnostic codes and prescription medications and not laboratory tests. Conclusions: EMRs are promising tools for assessing QIs for gout. With increased use of EMRs by physicians, our study has implications for informing processes for their enhanced use to improve patient care and outcomes in gout.
Subject	Gout; Quality indicators; Electronic medical records; Quality of care
Genre	Article; Postprint
Type	Text
Language	eng
Date Available	2019-03-31
Provider	Vancouver : University of British Columbia Library
Rights	Attribution-NonCommercial-NoDerivatives 4.0 International
DOI	10.14288/1.0375725
URI	http://hdl.handle.net/2429/68063
Affiliation	Medicine, Faculty of; Pharmaceutical Sciences, Faculty of; Other UBC; Non UBC; Medicine, Department of; Rheumatology, Division of
Citation	Estrada A, Tsao NW, Howren A, Esdaile JM, Shojania K, De Vera MA. Utility of electronic medical records in community rheumatology practice for assessing quality of care Indicators for gout: a feasibility study.J Clin Rheumatol. 2018 Mar;24(2):75-79.
Publisher DOI	10.1097/RHU.0000000000000621
Peer Review Status	Reviewed
Scholarly Level	Faculty; Graduate; Other
Rights URI	http://creativecommons.org/licenses/by-nc-nd/4.0/
Aggregated Source Repository	DSpace

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