- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
Interoperable exchange—the sharing and integration of health information between organizations—provides important benefits to patients. While hospital engagement in interoperable exchange and participation in national networks has steadily increased over time, systematic differences in hospital engagement in interoperability exist. Hospital engagement in interoperability and other advanced usages of electronic health records (EHR) have been found to be lower among smaller, rural, and independent hospitals compared to large, urban, health system-based hospitals.
Trust is a fundamental aspect of any human relationship, and medical care is no exception. An ongoing, trusting relationship between clinicians and patients has shown demonstrable value to primary care. However, there is currently no measure of trust in general use, and none endorsed for use by most value-based payment programs. This review searched the literature for any existing measures of patient trust in primary care clinicians and assessed their potential to be implemented as a patient-reported outcome measure.
In February of this year, the Centers for Medicare and Medicaid Services (CMS) announced its “Universal Foundation” for aligning quality measures across its own programs. The CMS effort is not specific to primary care, but it defines an initial list of measures that falls almost entirely on primary care to capture and comply. It is also directly opposed to recent recommendations to reduce clinician burden, to align measures with the purpose and function of care delivery, and to promote person-centeredness.