New paradigms for measuring clinical performance using electronic health records

Jonathan P. Weiner, Jinnet B. Fowles, Kitty S Chan

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Measures of provider success are the centerpiece of quality improvement and pay-for-performance programs around the globe. In most nations, these measures are derived from administrative records, paper charts and consumer surveys; increasingly, electronic patient record systems are also being used. We use the term 'e-QMs' to describe quality measures that are based on data found within electronic health records and other related health information technology (HIT). We offer a framework or typology for e-QMs and describe opportunities and impediments associated with the transition from old to new data sources. If public and private systems of care are to effectively use HIT to support and evaluate health-care system quality and safety, the quality measurement field must embrace new paradigms and strategically address a series of technical, conceptual and practical challenges.

Original languageEnglish (US)
Article numbermzs011
Pages (from-to)200-205
Number of pages6
JournalInternational Journal for Quality in Health Care
Issue number3
StatePublished - Jun 2012


  • Electronic health records
  • Health information technology
  • Meaningful use
  • Performance measurement
  • Quality measurement
  • Quality of care

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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