We expect increased reporting to decline over time without consistent feedback, as has been demonstrated in other studies [18], and we will continue to monitor rates over time.
As our current reporting system requires considerable reporter time for data input and discussion with risk managers, is not specifically configured for ambulatory reporting, is considered by staff and providers potentially punitive, and marked under-reporting is clear, we have proposed moving to a new system that is more user-friendly, ambulatory-focused, and has a provision for anonymous reporting.
Presented in part at the Institute for Healthcare Improvement 15th Annual International Summit on Improving Patient Care in the Office Practice and the Community, Washington DC, March 2014.
Acknowledgements: We gratefully acknowledge the work of collaborative practice team members, including Christopher Isenhour MD, Janet White, Shelby Carlyle, Mark Tillotson MD, Maria Migliaccio, Melanie Trapp, Jennifer Ochs, Gary DeRosa MD, Margarete Hinkle, Scott Wagner, Kelly Schetselaar, Timothy Eichenbrenner MD, Sandy Hite, Jamie Shelton, Raymond Swetenburg MD, James Lye MD, Kelly Morrison, Jan Rapisardo, Jane Moss, Rhett Brown MD, Dorothy Hedrick, Camille Farmer, and William Anderson, MS, for assistance with analysis.
Corresponding author: Herbert Clegg, MD, 108 Providence Road, Charlotte NC, 28207, hwclegg@novanthealth.org.
Financial disclosures: None.