The data that is generated within health centers through entry into the EHR or practice management system and used for myriad purposes such as decision support, reporting, and quality improvement is often input by front-line staff. This may include front desk staff who enter information on intake forms, medical assistants who enter height, weight, and vital signs, among others.

Another way to look at it is the information that health center leadership, providers, and payers are using to make decisions is often ‘created’ by entry level staff that may have less training and higher turnover. For these reasons, it is critically important to consider these ‘data creators’ in quality improvement activities that are undertaken.