The impact of routine data quality assessments on electronic medical record data quality in Kenya

Details

• Alternative Title:
  PLoS One
• Personal Author:
  Muthee, Veronica ; Bochner, Aaron F. ; Osterman, Allison ; Liku, Nzisa ; Akhwale, Willis ; Kwach, James ; Prachi, Mehta ; Wamicwe, Joyce ; Odhiambo, Jacob ; Onyango, Fredrick ; Puttkammer, Nancy
• Description:
  Background
  
  Routine Data Quality Assessments (RDQAs) were developed to measure and improve facility-level electronic medical record (EMR) data quality. We assessed if RDQAs were associated with improvements in data quality in KenyaEMR, an HIV care and treatment EMR used at 341 facilities in Kenya.
  
  Methods
  
  RDQAs assess data quality by comparing information recorded in paper records to KenyaEMR. RDQAs are conducted during a one-day site visit, where approximately 100 records are randomly selected and 24 data elements are reviewed to assess data completeness and concordance. Results are immediately provided to facility staff and action plans are developed for data quality improvement. For facilities that had received more than one RDQA (baseline and follow-up), we used generalized estimating equation models to determine if data completeness or concordance improved from the baseline to the follow-up RDQAs.
  
  Results
  
  27 facilities received two RDQAs and were included in the analysis, with 2369 and 2355 records reviewed from baseline and follow-up RDQAs, respectively. The frequency of missing data in KenyaEMR declined from the baseline (31% missing) to the follow-up (13% missing) RDQAs. After adjusting for facility characteristics, records from follow-up RDQAs had 0.43-times the risk (95% CI: 0.32–0.58) of having at least one missing value among nine required data elements compared to records from baseline RDQAs. Using a scale with one point awarded for each of 20 data elements with concordant values in paper records and KenyaEMR, we found that data concordance improved from baseline (11.9/20) to follow-up (13.6/20) RDQAs, with the mean concordance score increasing by 1.79 (95% CI: 0.25–3.33).
  
  Conclusions
  
  This manuscript demonstrates that RDQAs can be implemented on a large scale and used to identify EMR data quality problems. RDQAs were associated with meaningful improvements in data quality and could be adapted for implementation in other settings.
  
  
• Subjects:
  Data Accuracy Electronic Health Records HIV Infections Humans Quality Control
• Source:
  PLoS One. 13(4).
• Pubmed ID:
  29668691
• Pubmed Central ID:
  PMC5905951
• Document Type:
  Journal Article
• Funding:
  P30 AI027757/AI/NIAID NIH HHS/United States
• Place as Subject:
  Kenya
• Volume:
  13
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:cc757dd60bcff33f110d402954a2227ba5d8deb0d1c211ca23ed6dd420dc77b7
• Download URL:
  https://stacks.cdc.gov/view/cdc/55524/cdc_55524_DS1.pdf
• File Type:
  [PDF - 845.11 KB ]