Eighteen months after implementing a full-featured electronic health record (EHR) in their practice, four internists used the system to measure and improve their mammography rate (Improving Patient Care, p. 549).
They ultimately achieved a 10 percent absolute improvement in rates at a modest, but unreimbursed, cost.
The author describes challenges such as acquiring structured data in an environment shaped by paper-chart thinking. The experience highlighted critical elements for EHR adopters who use it for quality improvement projects in their practice, including the need for standardized reports from other health care providers and redesign of practice work flows. -American College of Physicians
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