"Salt in the Wound": Safety Net Clinician Perspectives on Performance Feedback Derived From EHR Data. Issue 1 (January 2017)

• Record Type: Journal Article
• Authors: Bunce, Arwen E.; Gold, Rachel; Davis, James V.; Mercer, MaryBeth; Jaworski, Victoria; Hollombe, Celine; Nelson, Christine
• Is Part Of: Journal of ambulatory care management. Volume 40:Issue 1(2017)
• Publication Date: 2017-01
• Subjects: algorithms -- attitude of health personnel -- community health centers -- electronic health records -- feedback -- qualitative research -- quality improvement -- safety net providers; Ambulatory medical care -- Administration -- Periodicals; Ambulatory medical care -- United States -- Administration -- Periodicals; Community health services -- Administration -- Periodicals; Community health services -- United States -- Administration -- Periodicals; Health planning -- Periodicals; Health planning -- United States -- Periodicals; 362.12
• DOI: 10.1097/JAC.0000000000000166
• Languages: English
• ISSNs: 0148-9917

Abstract

Abstract : Electronic health record (EHR) data can be extracted for calculating performance feedback, but users' perceptions of such feedback impact its effectiveness. Through qualitative analyses, we identified perspectives on barriers and facilitators to the perceived legitimacy of EHR-based performance feedback, in 11 community health centers (CHCs). Providers said such measures rarely accounted for CHC patients' complex lives or for providers' decisions as informed by this complexity, which diminished the measures' perceived validity. Suggestions for improving the perceived validity of performance feedback in CHCs are presented. Our findings add to the literature on EHR-based performance feedback by exploring provider perceptions in CHCs.