Table 4 outlines the agreement levels observed in
health promotion activities between the patient survey
replies and the information found in their chart only as
this information is not available through billing records.
The only one that had concordance over 75% was
current smoking status. Past smoking status showed less
than 50% agreement and provision of advice on diet and
exercise showed 70-75% concordance with kappa levels
all 85% agreement on the presence of
the diagnosis. For medication use, concordance between
the chart data and patient surveys was >75%, while the
concordance between administrative and chart data was
>75% for antihypertensives and only 57% for antilipidemics,
with much higher rates of lipid lowering
agent use noted in the charts. In Table 6 the level of
agreement between administrative data and the patient
between 70-75%, which is slightly lower than level of
agreement between the chart and the patient. The kappa
statistic was higher for antihypertensives, than for antilipidemic
drugs.