Electronic health records and outpatient cardiovascular disease care delivery: Insights from the American College of Cardiology’s PINNACLE India Quality Improvement Program (PIQIP)

Autor: Ankur Kalra, Deepak L. Bhatt, Jessica Wei, Karen L. Anderson, Stefan Rykowski, Prafulla G. Kerkar, Ganesh Kumar, Thomas M. Maddox, William J. Oetgen, Salim S. Virani
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Indian Heart Journal, Vol 70, Iss 5, Pp 750-752 (2018)
Druh dokumentu: article
ISSN: 0019-4832
DOI: 10.1016/j.ihj.2018.03.002
Popis: Background: There has been a push toward implementation of electronic health records (EHRs) in federally-funded hospitals under the current policies initiated by the Indian government, with a lack of evidence supporting their adoption. We analyzed data from the American College of Cardiology’s PINNACLE (Practice Innovation and Clinical Excellence) India Quality Improvement Program (PIQIP) to evaluate the association between EHR use and quality of cardiovascular disease care in India. Methods and Results: Between 2011–2016, we collected data on performance measures for patients with coronary artery disease (CAD), heart failure (HF) and atrial fibrillation (AF) among 17 participating practices in PIQIP. There were 19,035 patients with CAD, 9,373 patients with HF, and 1,127 patients with AF. Documentation of co-morbidity burden in patients with CAD was lower among practices with EHR—hypertension (49.8% vs. 52.1%, p = 0.003), diabetes (34.9% vs. 38.3%, p
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