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BMC Oral Health
Published in: BMC Oral Health 1/2021

Open Access 01-12-2021 | Care | Research

Assessing the completeness of periodontal disease documentation in the EHR: a first step in measuring the quality of care

Authors: Joanna Mullins, Alfa Yansane, Shwetha V. Kumar, Suhasini Bangar, Ana Neumann, Todd R. Johnson, Gregory W. Olson, Krishna Kumar Kookal, Emily Sedlock, Aram Kim, Elizabeth Mertz, Ryan Brandon, Kristen Simmons, Joel M. White, Elsbeth Kalenderian, Muhammad F. Walji

Published in: BMC Oral Health | Issue 1/2021

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Abstract

Background

Our objective was to measure the proportion of patients for which comprehensive periodontal charting, periodontal disease risk factors (diabetes status, tobacco use, and oral home care compliance), and periodontal diagnoses were documented in the electronic health record (EHR). We developed an EHR-based quality measure to assess how well four dental institutions documented periodontal disease-related information. An automated database script was developed and implemented in the EHR at each institution. The measure was validated by comparing the findings from the measure with a manual review of charts.

Results

The overall measure scores varied significantly across the four institutions (institution 1 = 20.47%, institution 2 = 0.97%, institution 3 = 22.27% institution 4 = 99.49%, p-value < 0.0001). The largest gaps in documentation were related to periodontal diagnoses and capturing oral homecare compliance. A random sample of 1224 charts were manually reviewed and showed excellent validity when compared with the data generated from the EHR-based measure (Sensitivity, Specificity, PPV, and NPV > 80%).

Conclusion

Our results demonstrate the feasibility of developing automated data extraction scripts using structured data from EHRs, and successfully implementing these to identify and measure the periodontal documentation completeness within and across different dental institutions.
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Metadata
Title
Assessing the completeness of periodontal disease documentation in the EHR: a first step in measuring the quality of care
Authors
Joanna Mullins
Alfa Yansane
Shwetha V. Kumar
Suhasini Bangar
Ana Neumann
Todd R. Johnson
Gregory W. Olson
Krishna Kumar Kookal
Emily Sedlock
Aram Kim
Elizabeth Mertz
Ryan Brandon
Kristen Simmons
Joel M. White
Elsbeth Kalenderian
Muhammad F. Walji
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2021
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-021-01633-w

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