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H H S Department of Health and Human Services
U.S. Department of Health and Human Services
Health Information Technology and Quality
Improvement

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How do I assess whether the EHR/Registry will be able to report out on the specific metrics that I am implementing?

In order to assess your system’s capacity to report on the measures you have selected, consider the source of the data, types of information you will need to produce and how often you will need this information.  Begin by listing the capabilities needed to support reporting.  Next, align these components with the functional requirements for reporting. Below is a table of functionalities you may want to consider for designing your reports.  

Identify a subpopulation of patients

  • Conduct pre-defined queries that use logical algorithms to identify panels of patients.
  • Update pre-defined queries to accommodate new or revised guidelines.
  • Develop customized queries to identify patients determined to be at risk based on demographic or clinical information.
  • Save logic from customized queries to be able to run at regular intervals and share with others.
View and manipulate data

  • View reports within the application on subpopulation.
  • Customize reports to include desired data fields.
  • Drill down to learn more about the patients in the panel (e.g., offer a link to additional patient information).
  • Run another query to narrow the list of patients.
  • Sort or stratify list according to severity of condition or relative risk score (e.g., intermittent vs. persistent asthma).
Export the data

  • Save the reports generated by the queries.
  • Export reports to other applications (e.g., Excel files).
  • Print the reports.
Create notifications for patients and providers

  • Generate automatic or customized patient notification to contact a panel of patients about office visits, preventive services, test, or behavioral actions that are due or overdue.
  • Generate pre-visit reminders for providers about patient care.
Track quality measures

  • Identify trends within the practice (e.g., the practice's most frequently seen diagnoses, the most important risk factors within the practice's patient population).
  • Display National quality measures for a panel of one provider's patients.
  • Produce aggregate reports with information about how well several providers are doing in delivering recommended care to the patient population based on national quality measures.
  • Provide peer comparison reports for individual physicians and care teams and clinicians.
  • Provide graphic displays of trends in user-specified conditions for management control and guideline compliance in population reports.

You may also want to consider the functionalities that are required for an EHR to be certified for the Medicare and Medicaid EHR Incentive Programs.  These functionalities, criteria, and technical specifications are described in ONC’s Standards and Certification for EHRs Final Rule and are geared towards ensuring that an EHR is capable of performing the functions required for demonstrating meaningful use.

Related Resources:

Quality Improvement Plan Template go to exit disclaimer- New York State Office of Mental Health
National Quality Measures Clearinghouse - Agency for Healthcare Research and Quality
Standards and Certification for EHRs - Office of the National Coordinator for Health IT

Developed by the Health Resources and Services Administration as a resource for health centers and other safety net and ambulatory care providers who are seeking to implement health IT.
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