title: New paradigms for measuring clinical performance using electronic health records.
abstract: 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
  
  
  METHODS
  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.
authors.affiliation: Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. jweiner@jhsph.edu
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Weiner
authors.forename: Jinnet B
authors.initials: JB
authors.lastname: Fowles
authors.forename: Kitty S
authors.initials: KS
authors.lastname: Chan
mesh_terms: D057286:Electronic Health Records / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D008490:Medical Informatics / Q000592:standards* / Q000706:statistics & numerical data; D011785:Quality Assurance, Health Care; D011787:Quality of Health Care / Q000592:standards* / Q000706:statistics & numerical data