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. 2012 Jul-Aug;27(4):282-90.
doi: 10.1177/1062860611425103. Epub 2012 Jan 20.

Use of electronic documentation for quality improvement in hospice

John G Cagle  1 , Franziska S Rokoske, Danielle Durham, Anna P Schenck, Carol Spence, Laura C Hanson
Affiliations

Use of electronic documentation for quality improvement in hospice

John G Cagle et al. Am J Med Qual. 2012 Jul-Aug.

Abstract

Little evidence exists about the use of electronic documentation (ED) in hospice and its relationship to quality improvement (QI) practices. The purposes of this study were to (1) estimate the prevalence of ED use in hospice, (2) identify organizational characteristics associated with use of ED, and (3) determine whether quality measurement practices differed based on documentation format (electronic vs nonelectronic). Surveys concerning the use of ED for QI practices and the monitoring of quality-related care and outcomes were collected from 653 hospices. Users of ED were able to monitor a wider range of quality-related data than users of non-ED. Quality components such as advanced care planning, cultural needs, experience during care of the actively dying, and the number/types of care being delivered were more likely to be documented by users of ED. Use of ED may help hospices monitor quality and compliance.

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Conflict of interest statement

Conflict of Interest

The authors disclosed no current or foreseeable financial or personal conflicts of interest related to this manuscript and its content.

Figures

Figure 1
Figure 1
Hospice use of administrative data for quality improvement (QI) purposes by method of data collection (N=437)* *This subsample was limited to hospices that reported collecting administrative QI data. **P<.01
Figure 2
Figure 2
Hospice use of clinical data for quality improvement (QI) purposes by method of data collection (N=390) † †This subsample was limited to hospices that reported collecting clinical QI data. *P<.05 **P<.01
See this image and copyright information in PMC

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References

    1. Adams WG, Mann AM, Bauchner H. Use of an electronic medical record improves the quality of urban pediatric primary care. Pediatrics. 2003;111(3):626–632. - PubMed
    1. Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742–752. - PubMed
    1. Garrido T, Jamieson L, Zhou Y, Wiesenthal A, Liang L. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581. - PMC - PubMed
    1. Weber V, Bloom F, Pierdon S, Wood C. Employing the electronic health record to improve diabetes care: a multifaceted intervention in an integrated delivery system. J Gen Intern Med. 2008;23(4):379–382. - PMC - PubMed
    1. Vishwanath A, Scamurra SD. Barriers to the adoption of electronic health records: using concept mapping to develop a comprehensive empirical model. Health Informatics J. 2007;13(2):119–134. - PubMed

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