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Helene Kopal, MPA, MPH Director, Primary Care Development Corporation

Evaluation of a CDSS and EMR-Based Registry to Improve Management of Hypertension in a Community Health Center. Helene Kopal, MPA, MPH Director, Primary Care Development Corporation. Our Team. Westchester County, NY. Sep ‘07. Mar ‘09. Jun ‘10. Sep ‘10. Nov - Dec ‘08. Post-Intervention.

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Helene Kopal, MPA, MPH Director, Primary Care Development Corporation

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  1. Evaluation of a CDSS and EMR-Based Registry to Improve Management of Hypertension in a Community Health Center Helene Kopal, MPA, MPH Director, Primary Care Development Corporation

  2. Our Team Westchester County, NY

  3. Sep ‘07 Mar ‘09 Jun ‘10 Sep ‘10 Nov - Dec ‘08 Post-Intervention Intervention Baseline & Development Acceptance • IRB & FWA • Set Objectives • Develop Intervention • Collect Baseline Data • EMR • Provider Process • ACIC • System Inventory • Collect Post-Intervention • Data • EMR • Provider Process • Train Users • Implement Intervention • Acceptance Period • Analysis • Write-up • Dissemination plan Project Design and Timeline

  4. Our Patients • 72% Hispanic • 66% Female • 90% at or below 150% of poverty level Preliminary Baselines • 94% screened for hypertension • 16% reported with hypertension

  5. Our Patients BP Control Among Hypertensives Always 21% Never 29% Sometimes 50% N=1902

  6. Our Providers Positive Attitudes Towards Guidelines 5 3.7 3.9 1 N=15

  7. Our Providers Satisfaction with eClinicalWorks EMR 7 5 3.8 5.4 1 1 Satisfied with ECW ECW Made Clin Tasks Easier N=15

  8. 2. Identify Objective Class 3. Identify Type & Workflow Step of CDSS 4. Select CDSS Intv’ns 5. Specify & Validate Each Intv’n Developing the Intervention 1. Identify Clinical Objective 4 1/2. Create Use-Cases Osheroff, Jerome A., MD, FACP, FACMI et al.Improving Outcomes with Clinical Decision Support: An Implementer’s Guide, Chicago: Healthcare and Information Management Systems Society, 2005.

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