Progress has been made in the monthly review of quality scores for performance improvement: 86 percent of clinical leaders and 64 percent of individual physicians receive updates at least monthly at Most Wired organizations. Still, only 15 percent of clinical leaders and 13 percent of individual physicians receive this information in real time at the point of care.

At Rush Memorial Hospital in Rushville, Ind., the administrative team reviews data monthly to reduce errors or improve clinical performance. “These data are delivered in the form of reports, clinical decision support or scorecards across the organization, thus impacting patient care,” says Jim Boyer, chief information officer.


Create a governance model between administrative and clinical leadership for oversight and decision-making on the use of the electronic health record, including meaningful use and clinical quality measures.

Plan for staffing and capital resources to implement electronic clinical quality measures.

Implement clinical quality data collection in the EHR so that actual performance is reported.

Evaluate whether quality data are effectively captured as clinicians deliver patient care.

Reconfigure workflow and screen flow to coincide with data requirements for clinical quality measures.

Assess internal inter-operability with key department systems and develop a plan to access required data.