There are various changes in health care and electronic health records to ensure quality improvement. As such, practice facilitation was done by training quality enhancement coaches, improving the measurement of diabetes care, and ensuring practice workflow and the roles of practice personnel to attain quality care.
In the beginning, Health IT was not available, hence, to gather data from practices, scotch tape and bailing wire was used. Also, some practices made use of hand-populated registries. Other practices owned EHR systems, which could not provide quality reports easily. Moreover, there was the fax system where data was uploaded through a fax sheet so that practices could get them later on via website (Office of the National Coordinator for Health IT, 2014). Nonetheless, in 2010, there was a breakthrough as practices were able to adopt electronic health records together with meaningful use, after which the focus was to attain quality improvement and the representation of patient-centered medical home functionality.
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Various groups exist depending on their use of the EHRs. Group 2 signifies practices that do not use their EHRs well, but they are pursuing quality enhancement work. Nevertheless, they cannot produce regular reports despite having automated quality reports straight out of their EHRs (Office of the National Coordinator for Health IT, 2014). Group 3 practices have attained full meaningful use, own practice facilitation, and are vigorously involved in quality enhancement. Hence, Group 3 folks have attained a new level. Nevertheless, Group 1 is in neither-land of the early practices.
Therefore, health care and electronic health records have experienced many changes to become what they are today. Great outcomes are evident through the high percentages of hemoglobin A1Cs lower than seven being controlled. This means that the practice is fully functional at both meaningful use and practice facilitation.
Reference
Office of the National Coordinator for Health IT. (2014). Quality Improvement Deep Dive: Making Clinical Decision Support Real & Beneficial [Video]. Retrieved from https://www.youtube.com/watch?v=SkKz5mBaNgw