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Chronic Disease/NCD Collaborative & CDEMS

Chronic Disease/NCD Collaborative & CDEMS. Patrick S Luces & Augusta Rengiil Pacific Chronic Disease Council. Why we need this model?. Regional Assessments Lack collaboration between medical care providers and public health staff

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Chronic Disease/NCD Collaborative & CDEMS

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  1. Chronic Disease/NCD Collaborative & CDEMS Patrick S Luces & Augusta Rengiil Pacific Chronic Disease Council

  2. Why we need this model? • Regional Assessments • Lack collaboration between medical care providers and public health staff • Lack of system of clinical services to assure continuity of care • Lack up-to-date policies and procedures • Lack of standards of care • Lack of consistent data • FASC Recommendations listed (April 2009) • Data • Certified NCD lifestyle educators • NCD Collaborative

  3. What is a collaborative? The Collaborative approach involves improvements in six elements of NCD team care: • Self-management • Decision support • Clinical information system (CDEMS) • Delivery system design • Organization of health care • Community

  4. What is CDEMS? • CDEMS: Chronic Disease Electronic Management System • is a flexible database to help document and track health care outcomes. • is designed to assist medical providers and healthcare management and tracking and improving the care of patients with one or more chronic health conditions. • allows both patient level tracking/reporting and population level tracking/reporting.

  5. Meeting your needs.. • CDEMS can easily be adapted to the unique needs of the USAPI (i.e. betel nut and sakau use) can be added as behavioral risks. • Easily modify or change any clinic/hospital reports, formatting of Progress Notes, or any field in the program.

  6. Thank You!

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