Understanding challenges of using routinely collected health data to address clinical care gaps: a case study in Alberta, Canada.

Journal: BMJ open quality
PMID: 34996811

Abstract

High-quality data are fundamental to healthcare research, future applications of artificial intelligence and advancing healthcare delivery and outcomes through a learning health system. Although routinely collected administrative health and electronic medical record data are rich sources of information, they have significant limitations. Through four example projects from the Physician Learning Program in Edmonton, Alberta, Canada, we illustrate barriers to using routinely collected health data to conduct research and engage in clinical quality improvement. These include challenges with data availability for variables of clinical interest, data completeness within a clinical visit, missing and duplicate visits, and variability of data capture systems. We make four recommendations that highlight the need for increased clinical engagement to improve the collection and coding of routinely collected data. Advancing the quality and usability of health systems data will support the continuous quality improvement needed to achieve the quintuple aim.

Authors

  • Taylor McGuckin
    Faculty of Medicine & Dentistry - Lifelong Learning & Physician Learning Program, University of Alberta, Edmonton, Alberta, Canada.
  • Katelynn Crick
    Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry, University of Alberta, AB, Canada.
  • Tyler W Myroniuk
    Department of Public Health, School of Health Professions, University of Missouri, Columbia, MO, USA.
  • Brock Setchell
    Faculty of Medicine & Dentistry - Lifelong Learning & Physician Learning Program, University of Alberta, Edmonton, Alberta, Canada.
  • Roseanne O Yeung
    Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry, University of Alberta, AB, Canada.
  • Denise Campbell-Scherer
    Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry, University of Alberta, AB, Canada.

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