Snapshot
Summary
Through its commercial electronic medical record system, a large internal medicine practice provides physicians with unobtrusive reminders related to 16 measures for heart disease, heart failure, diabetes, and preventive services. The practice also makes it easy to address the alerts by ordering appropriate tests or treatment, or by documenting legitimate exceptions. Physicians receive quarterly feedback on individual performance, incorporating exceptions and monthly lists of individual patients who appear not to be receiving an essential medication. The program improved performance on the vast majority of the 16 targeted measures by increasing provision of recommended care and/or improving documentation of exceptions.
Evidence Rating
Moderate: The evidence consists of comparisons of the rate of performance improvement on 16 standardized measures during the 12-month period before implementation to the 12-month period after implementation. It also includes comparisons of the percentage of physicians achieving “perfect” (100 percent) or “near-perfect” (above 90 percent) performance on drug-prescribing measures at baseline and a year after program implementation.
Developing Organizations
Northwestern Medical Faculty Foundation; Northwestern University
Date First Implemented
2008
February
Patient Population
The program served patients in a large internal medicine practice who qualified for one of the 16 measures. Roughly three-fourths of eligible patients were female, while nearly half were white, one-fourth African American, and 16 percent Hispanic. The vast majority had insurance, typically private coverage (67 percent) or Medicare (26.8 percent).end pp
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AHRQ Innovations Exchange | Unobtrusive, Actionable Reminders and Performance Feedback Improve Physician Performance on Standardized Quality Measures
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