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Table 4 Comparison of medical record audits and administrative data, composite score for mammography, Pap smears and influenza vaccinations

From: Measuring data reliability for preventive services in electronic medical records

Year

Patients receiving service, medical record audits, n/N, % (95% CI)*

Patients receiving service, administrative data, n/N, % (95% CI)

Difference between medical record audits and administrative data within year (95% CI)

Difference in the change from previous year (95% CI)

2004

2264/2807,80.7%(79.2%–82.1%)

11074/14096,78.6%(77.9%–79.2%)

+2.1% (0.5%–3.7%)

 

2005 (post pay-for- performance)

2385/2809,84.9%(83.6%–86.2%)

11735/14927,78.6%(78.0%–79.3%)

+6.3% (4.8%–7.8%)

4.2% greater increase with chart audits (2.0%–6.4%)

2006 (first year after EMR introduction)

1995/2696,74.1%(72.4%–75.7%)

11692/15291,76.5%(75.8%–77.1%)

−2.4% (−4.2%– −0.6%)

8.7% greater decrease with chart audits (−11.0%– − 6.4%)

2007 (second year after EMR introduction)

2076/2703,77.2%(75.6%–78.8%)

12005/15559,77.2%(76.5%–77.8%)

0 (−1.7%–1.8%)

2.4% greater increase with chart audits(0%–4.9%)

  1. *Percentages are adjusted for patient age.