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Development, implementation, and use of an “equity lens” integrated into an institutional quality scorecard
Journal of the American Medical Informatics Association ( IF 4.7 ) Pub Date : 2021-05-19 , DOI: 10.1093/jamia/ocab082
Mark Connolly 1 , Mary Kate Selling 1 , Scott Cook 2, 3, 4 , James S Williams 2, 4 , Marshall H Chin 3, 4 , Craig A Umscheid 3, 4
Affiliation  

Few healthcare provider organizations systematically track their healthcare equity, and fewer enable direct interaction with such data by their employees. From May to August 2019, we enhanced the data architecture and reporting functionality of our existing institutional quality scorecard to allow direct comparisons of quality measure performance by gender, age, race, ethnicity, language, zip code, and payor. The Equity Lens was made available to over 4000 staff in September 2019 for 82 institutional quality measures. During the first 11 months, 235 unique individuals used the tool; users were most commonly from the quality and equity departments. Two early use cases evaluated hypertension control and readmissions by race, identifying potential inequities. This is the first description of an interactive equity lens integrated into an institutional quality scorecard made available to healthcare system employees. Early evidence suggests the tool is used and can inform quality improvement initiatives.

中文翻译:

开发、实施和使用纳入机构质量记分卡的“公平视角”

很少有医疗保健提供者组织系统地跟踪其医疗保健公平性,也很少有医疗保健提供者组织能够让其员工与此类数据直接交互。2019 年 5 月至 8 月,我们增强了现有机构质量记分卡的数据架构和报告功能,以便按性别、年龄、种族、民族、语言、邮政编码和付款人直接比较质量衡量绩效。2019 年 9 月,Equity Lens 向 4000 多名员工提供了 82 项机构质量衡量标准。在前 11 个月内,有 235 名个人使用了该工具;用户最常见来自质量和权益部门。两个早期用例评估了按种族划分的高血压控制和再入院情况,发现了潜在的不平等。这是首次描述将交互式公平镜头集成到可供医疗保健系统员工使用的机构质量记分卡中。早期证据表明该工具已被使用并且可以为质量改进计划提供信息。
更新日期:2021-05-19
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