Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Int J Qual Health Care. 2012 Jun;24(3):200-5. doi: 10.1093/intqhc/mzs011. Epub 2012 Apr 6.
Measures of provider success are the centerpiece of quality improvement and pay-for-performance programs around the globe. In most nations, these measures are derived from administrative records, paper charts and consumer surveys; increasingly, electronic patient record systems are also being used. We use the term 'e-QMs' to describe quality measures that are based on data found within electronic health records and other related health information technology (HIT). We offer a framework or typology for e-QMs and describe opportunities and impediments associated with the transition from old to new
If public and private systems of care are to effectively use HIT to support and evaluate health-care system quality and safety, the quality measurement field must embrace new paradigms and strategically address a series of technical, conceptual and practical challenges.
在全球范围内，衡量供应商绩效的标准是质量改进和按绩效付费计划的核心。在大多数国家，这些衡量标准都来自于行政记录、纸质图表和消费者调查；越来越多的电子患者记录系统也在被使用。我们使用“电子质量指标”一词来描述基于电子健康记录和其他相关健康信息技术（HIT）中数据的质量指标。我们为电子质量指标提供了一个框架或分类法，并描述了从旧到新的过渡所带来的机遇和障碍。
如果公共和私人医疗系统要有效地利用 HIT 来支持和评估医疗保健系统的质量和安全，那么质量测量领域必须接受新的范例，并从技术、概念和实际方面战略性地解决一系列挑战。
