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Development and Validation of Electronic Quality Measures to Assess Care for Patients With Transient Ischemic Attack and Minor Ischemic Stroke.
Circ Cardiovasc Qual Outcomes
September 2017
From the Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Stroke Quality Enhancement Research Initiative (QUERI), Washington, DC (D.M.B., L.J.M., E.C., M.R., T.D., E.J.M., B.M., G.G., L.S.W., G.A.); VA HSR&D Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN (D.M.B., L.J.M., T.D., E.J.M., C.A., J.F., B.M., K.S., L.S.W.); Department of Internal Medicine (D.M.B., L.J.M., T.D., E.J.M., C.A.) and Department of Neurology (D.M.B., L.S.W.), and Department of Emergency Medicine (E.J.M.), Indiana University School of Medicine, Indianapolis; Regenstrief Institute, Indianapolis, IN (D.M.B., T.D., E.J.M., L.S.W.); VA Nebraska-Western Iowa Health Care System-Omaha Division, Omaha, NE (J.J.); Department of Surgery, University of Nebraska, Lincoln (J.J.); Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, CT (J.S.); Departments of Internal Medicine and Neurology, Yale University School of Medicine, New Haven, CT (J.S., J.F.); School of Nursing, Purdue University, West Lafayette, IN (G.A.); Department of Biostatistics, Indiana University School of Medicine, IUPUI, Indianapolis (F.B., Z.Y., S.O.); Department of Neurology, University of Maryland School of Medicine, Baltimore (M.P.); Miami VA Medical Center (S.C.); Department of Neurology, School of Medicine, University of Miami, FL (S.C.); Department of Pharmacy Practice, College of Pharmacy, Purdue University, West Lafayette, IN (A.Z.); Department of Epidemiology, Michigan State University, East Lansing (M.R.); Department of Neurology, VA Greater Los Angeles Healthcare System, Los Angeles, CA (E.C.); Department of Neurology, David Geffen School of Medicine, University of California at Los Angeles (E.C.); and Department of Veterans Affairs, Office of Analytics and Business Intelligence, In-Patient Evaluation Center (IPEC), Cincinnati, OH (R.R.).
Background: Despite interest in using electronic health record (EHR) data to assess quality of care, the accuracy of such data is largely unknown. We sought to develop and validate transient ischemic attack and minor ischemic stroke electronic quality measures (eQMs) using EHR data.
Methods And Results: A random sample of patients with transient ischemic attack or minor ischemic stroke, cared for in Veterans Health Administration facilities (fiscal year 2011), was identified.