July 26—The current approach to electronic clinical quality reporting for meaningful use fails to deliver on promised levels of feasibility, validity, and reliability and does not reduce the reporting burden placed on hospitals, according to a recent study from the American Hospital Association (AHA).

The study describes the experience of four diverse hospitals in implementing meaningful use Stage 1 electronic clinical quality measures. The hospitals represent a mix of large and small, urban and non-metropolitan facilities. Each hospital uses a different electronic health record (EHR) from a different vendor.

Despite having significant experience with EHRs prior to their efforts to demonstrate meaningful use,  the organizations struggled to implement electronic clinical quality measures, with efforts requiring multiple iterations of workflow redesign, data capture, measure calculation, and measure validation according to the study. 

The AHA suggests that specific policy changes are needed to retool the electronic clinical quality reporting requirements—starting with meaningful use Stage 2—to focus on a small set of well-tested measures supported by a mature policy infrastructure.

Publication Date: Friday, July 26, 2013