Three Quality Improvement Initiatives and Performance of Rheumatoid Arthritis Disease Activity Measures in Electronic Health Records: Results From an Interrupted Time Series Study.
Julie GandrupJing LiZara IzadiMilena A GianfrancescoTorkell EllingsenJinoos YazdanyGabriela SchmajukPublished in: Arthritis care & research (2020)
Modifications to the EHR, provider culture, and clinical workflows effectively improved capture of RA disease activity scores and physician satisfaction, but parallel gains in disease activity levels were missing. This study illustrates how a series of health-IT initiatives can evolve to enable sustained changes in practice. However, capture of RA outcomes alone may not be sufficient to improve levels of disease activity without a comprehensive treat-to-target program.
Keyphrases
- disease activity
- rheumatoid arthritis
- quality improvement
- systemic lupus erythematosus
- rheumatoid arthritis patients
- ankylosing spondylitis
- electronic health record
- juvenile idiopathic arthritis
- primary care
- healthcare
- patient safety
- emergency department
- public health
- mental health
- type diabetes
- insulin resistance
- risk assessment
- weight loss
- adipose tissue
- health promotion