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EMRs for PM, PR, PI, P4P:
Some Summary Thoughts
- Using EMR-centered data, we can:
- Identify and link patients satisfactorily
- Identify patients pretty well for whom measures are appropriate (eg, no c/I to ACE/ARBs)
- Measure performance at a granular level (eg, BMI, A1c)
- Measure performance on all eligible patients, regardless of race or insurance status
- Monitor and provide meaningful feedback in a timely way
- Measure improvement in process and outcomes
- Some measures are harder to improve than others
- P4P systems should consider stratifying by insurance, at least.
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