Electronic Health Record (EHR)-Based Community Health Measures: An Exploratory Assessment of Perceived Usefulness by Local Health Departments

Table 2 Synthesis of Respondent Perceptions and Internal Assessment of Available Data in EHRs

Potential Community Health Measure	Perceived Usefulness^a	Readily Available in EHRs	Selected for Pilot Implementation
1. Vaccination Coverage School-age Children^c	Most Useful	No	No
2. Flu Vaccination Coverage^c		No	No
3. Prevalence Substance Abuse^c		No	No
4. Hepatitis B and/or Hepatitis C^c		Yes	No
5. Diabetes Prevalence		Yes	Yes
6. HPV Vaccination Coverage^c	Useful	No	No
7. Chlamydia/Gonorrhea/Syphilis Incidence		Yes	Yes
8. Hypertension and Other Common Cardiovascular Disease Prevalence		Yes	Yes
9. Asthma and COPD Prevalence		Yes	Yes
10. Depression Prevalence		Yes	Yes
11. HIV Screening^c		Yes	No
12. Various Cancers Incidence		Yes	No
13. Evidence of Violence or Trauma^c	Somewhat Useful	No	No
14. Chlamydia Screening		Yes	Yes^d
15. Cholesterol Screening Patients with Cardiovascular Conditions		Yes	Yes^d
16. Breast Cancer Screening		Yes	Yes^d
17. Hemoglobin A1c (HbA1c) Testing, Diabetic Patients		Yes	Yes^d
18. ER Use by Asthmatics		Yes	No
19. LDL-C Levels < 100 mg/dL for Patients with Cardiovascular Conditions		Yes	Yes^d
20. Hemoglobin A1c (HbA1c) Controlled < 8 Percent, Diabetic Patients	Least Useful	Yes	Yes^d
21. Dental Caries Prevalence^c		No	No
22. Asthma ADHD Prevalence Comorbidity Impact on ED Visits^c		No	No
23. ER Use by People with Dental Pain or Infections^c		Yes	No
24. Colorectal Cancer Screening	Not measured^b	No	No

^aCategory derived from Quartiles in Table 2
^bNot included in the survey
^cThese measures were proposed by epidemiologists and department heads at MCPHD
^dThese measures are commonly reported by health systems as part of the Healthcare Effectiveness Data and Information Set (HEDIS) to payers

ISSN: 1471-2458