ABSTRACT
An actionable registry for Human Immunodeficiency Virus (HIV) was built in the Electronic Health Record to provide decision support in the form of huddle reports, health maintenance alerts, and dynamic order sets. The HIV case study illustrates how new measure types based on population means or medians may provide a more sensitive measure of clinical outcomes. There also exists an opportunity to become more practical when setting intervention targets. A national quality program offers an incentive payment of nearly $300,000 in exchange for meeting or exceeding targets for managing elevated blood pressure without hypertension. The measure developed by the Agency for Healthcare Research and Quality was complex with multiple interventions depending on the degree and history of the elevated readings. The workgroup decided that the Dietary Approaches to Stop Hypertension diet recommendation would be an excellent intervention for all persons with elevated blood pressure without known hypertension.
