{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T22:28:49Z","timestamp":1792535329178,"version":"4.5.0"},"reference-count":61,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,4,12]],"date-time":"2018-04-12T00:00:00Z","timestamp":1523491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000960","name":"American College of Rheumatology Research and Education Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000960","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Electronic clinical quality measures (<jats:styled-content style=\"fixed-case\">eCQM<\/jats:styled-content>s) are increasingly used by health registries and third parties to evaluate and improve the quality of health care. To complete these <jats:styled-content style=\"fixed-case\">eCQM<\/jats:styled-content>s, data are extracted from electronic health records (<jats:styled-content style=\"fixed-case\">EHR<\/jats:styled-content>s). The treatment of gout has been an area identified with gaps in quality of care. On behalf of the American College of Rheumatology (<jats:styled-content style=\"fixed-case\">ACR<\/jats:styled-content>), we sought to develop and test <jats:styled-content style=\"fixed-case\">eCQM<\/jats:styled-content>s to evaluate gout care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Drawing from the 2012 <jats:styled-content style=\"fixed-case\">ACR<\/jats:styled-content> gout guidelines, a working group developed candidate gout process measures that were evaluated by an interdisciplinary panel of health care stakeholders, the <jats:styled-content style=\"fixed-case\">ACR<\/jats:styled-content> Quality Measures Subcommittee (<jats:styled-content style=\"fixed-case\">QMS<\/jats:styled-content>), and ultimately the <jats:styled-content style=\"fixed-case\">ACR<\/jats:styled-content> Board of Directors for formal validity testing. For each of the selected gout <jats:styled-content style=\"fixed-case\">eCQM<\/jats:styled-content>s, 3 clinical sites using different <jats:styled-content style=\"fixed-case\">EHR<\/jats:styled-content> systems tested the scientific feasibility and validity of the measures. Measures appropriate for accountability were presented for national endorsement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 10 proposed <jats:styled-content style=\"fixed-case\">eCQM<\/jats:styled-content>s, 4 were endorsed by the <jats:styled-content style=\"fixed-case\">ACR QMS<\/jats:styled-content>, 3 were incorporated into the <jats:styled-content style=\"fixed-case\">ACR<\/jats:styled-content>'s Rheumatology Informatics System for Effectiveness (<jats:styled-content style=\"fixed-case\">RISE<\/jats:styled-content>) Registry, and 2 were endorsed by the National Quality Forum. The 3 <jats:styled-content style=\"fixed-case\">eCQM<\/jats:styled-content>s incorporated into <jats:styled-content style=\"fixed-case\">RISE<\/jats:styled-content> (evaluating indications for urate\u2010lowering therapy [<jats:styled-content style=\"fixed-case\">ULT<\/jats:styled-content>]), monitoring serum urate, and treat\u2010to\u2010target outcome) demonstrated high validity and reliability. Proportions of patients passing these 3 <jats:styled-content style=\"fixed-case\">eCQM<\/jats:styled-content>s in <jats:styled-content style=\"fixed-case\">RISE<\/jats:styled-content> and at the 3 clinical testing sites ranged between 32% and 58%, indicating significant room for improvement in care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Three <jats:styled-content style=\"fixed-case\">eCQM<\/jats:styled-content>s have been validated and implemented into <jats:styled-content style=\"fixed-case\">RISE<\/jats:styled-content>. Two of these measures (evaluating indications for <jats:styled-content style=\"fixed-case\">ULT<\/jats:styled-content> and monitoring serum urate) are available for use in federal quality reporting programs. Performance on these measures suggests there is significant room for improvement in the management of gout.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.23500","type":"journal-article","created":{"date-parts":[[2018,4,12]],"date-time":"2018-04-12T12:17:44Z","timestamp":1523535464000},"page":"659-671","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Development of the American College of Rheumatology Electronic Clinical Quality Measures for Gout"],"prefix":"10.1002","volume":"70","author":[{"given":"John D.","family":"FitzGerald","sequence":"first","affiliation":[{"name":"David Geffen School of Medicine University of California Los Angeles"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ted R.","family":"Mikuls","sequence":"additional","affiliation":[{"name":"VA Nebraska\u2010Western Iowa Health Care System and University of Nebraska Medical Center Omaha"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuhina","family":"Neogi","sequence":"additional","affiliation":[{"name":"Boston University School of Medicine Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3485-0006","authenticated-orcid":false,"given":"Jasvinder A.","family":"Singh","sequence":"additional","affiliation":[{"name":"Birmingham Veterans Affairs Medical Center and University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Robbins","sequence":"additional","affiliation":[{"name":"Harvard Vanguard Medical Association Somerville Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puja P.","family":"Khanna","sequence":"additional","affiliation":[{"name":"University of Michigan and VA Ann Arbor Healthcare System Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy S.","family":"Turner","sequence":"additional","affiliation":[{"name":"American College of Rheumatology Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Myslinski","sequence":"additional","affiliation":[{"name":"American College of Rheumatology Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa G.","family":"Suter","sequence":"additional","affiliation":[{"name":"Yale University, New Haven, Connecticut and West Haven Veterans Affairs Medical Center West Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,12]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"American College of Rheumatology endorsed measures. 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