title: Electronic quality measurement predicts outcomes in community acquired pneumonia.
abstract: Using electronic medical data, we calculated emergency department physician performance and subsequent outcomes on a measure used in the Centers for Medicare & Medicaid Services' Physician Quality Reporting System. The measure assesses use of guideline recommended antibiotics for community acquired pneumonia. Physicians met measure criteria in 70.6% of cases at one institution. Among patients admitted to the hospital, measure compliant cases had a significantly shorter length of stay, lower costs and lower intensive care utilization than measure failures. For measure failures admitted to the hospital, antibiotic treatment was adjusted to be measure compliant within 48 hours in 57.1% of cases. Use of electronic performance measurement for antibiotic treatment of community acquired pneumonia identified variations in physician performance. Measure compliance correlated with significantly improved patient outcomes and lower costs.
authors.affiliation: Rush University Medical Center, Chicago, IL, USA.
authors.forename: Shannon A
authors.initials: SA
authors.lastname: Sims
authors.forename: Jordan A
authors.initials: JA
authors.lastname: Dale
authors.forename: Tricia J
authors.initials: TJ
authors.lastname: Johnson
authors.forename: Keri
authors.initials: K
authors.lastname: Christensen
authors.forename: Edward
authors.initials: E
authors.lastname: Ward
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002983:Clinical Competence; D017714:Community-Acquired Infections / Q000188:drug therapy; D057286:Electronic Health Records; D004635:Emergency Medicine / Q000592:standards; D005260:Female; D019983:Guideline Adherence; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000188:drug therapy*; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents