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Overview of the Chronic Disease Electronic Management System CDEMS

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Overview of the Chronic Disease Electronic Management System CDEMS

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    1. Overview of the Chronic Disease Electronic Management System (CDEMS) WVU Department of Community Medicine Office of Health Services Research

    2. WVU Office of Health Services Research

    3. WVU Office of Health Services Research What is CDEMS? Original software application developed by the Washington State DPCP Designed to assist medical providers and healthcare management in tracking and improving the care of patients with one or more chronic health conditions Individual patient level tracking & reporting Population level tracking & reporting

    4. WVU Office of Health Services Research CDEMS Users Nationwide

    5. WVU Office of Health Services Research Where are we now? The Office of Health Services Research is working with about 30 clinics-and growing We support CDEMS and PECS We provide educational programs We provide on site support We provide computer hardware if needed

    6. WVU Office of Health Services Research Statewide Sites Google Maps WVU OHSR http://www.hsc.wvu.edu/som/ cmed/ohsr/maps/ClinicMap.html

    7. WVU Office of Health Services Research Health Centers with Established Electronic Patient Registries, by Time Period (WV DPCP)

    8. WVU Office of Health Services Research Our Focus Focusing on improving health care by: Working with health centers to change patterns of patient care Implementing a process to improve management of chronic health conditions How do we do this: CDEMS and PECS Adapting registry to the users Providing educational resources

    9. WVU Office of Health Services Research How does CDEMS work?

    10. WVU Office of Health Services Research CDEMS Addresses the Care Model

    11. WVU Office of Health Services Research Delivery System Design A core function of CDEMS is the creation of Progress Notes for use by providers during clinic visits Compiles information within several sections of the chart into a one-page data sheet serving as a quick reference tool for tracking standards of care

    12. WVU Office of Health Services Research Decision Support CDEMS Progress Note displays information in five sections Demographics Health Conditions Medications Services Laboratory Results/Measures All components are customizable

    13. WVU Office of Health Services Research Decision Support: The CDEMS Tickler Reminder and early warning to draw attention to labs and services that are due or outside of recommended guidelines for standards of care Customizable parameters

    14. WVU Office of Health Services Research Self-Management CDEMS Progress Note is supplemented with Recommended Guidelines and Graphs Sheet that displays historic trends Shows patients where they are in reference to care guidelines Used as visuals and handouts for promoting patient self-management

    15. WVU Office of Health Services Research Clinical Information Systems CDEMS provides: Clinic-wide summary reports on patient health outcomes, services offered, and progress in meeting quality improvement goals Reminders for providers and patients Lists of patients overdue for a visit, lab, other specialty service Identification of particular populations in need of care Facilitation of individual patient care planning

    16. WVU Office of Health Services Research Some Pertinent Questions Which patients havent had an office visit in the past year? Which patients with DM havent had an HbA1c in the last six months? Whos last cholesterol was >200? Which patients need specialty education or services? Are patients within national standards of patient care?

    17. WVU Office of Health Services Research Necessary Equipment Computer Microsoft Windows 98 or later operating system Printer Color, if available Microsoft Access OHSR supplies this software free-of-charge

    18. WVU Office of Health Services Research Support from the OHSR (all free-of-cost) Construction of CDEMS patient registry Installation and set-up Training for all registry users Follow-up training and continual support Registry customizations Provider feedback and educational models

    19. WVU Office of Health Services Research Easing the Burden of Starting & Maintaining CDEMS Using billing system to identify patients, import patient names, demographics, contact info., ICD-9-CM diagnoses, visit dates. Saves time and effort in data collected by hand Interfacing with LabCorp to eliminate the need for hand-entering lab values (and obtain historic lab values when building baseline data) Interfaces also available for PAML, QUEST, Dynacare, Dynacore, PacLab

    20. WVU Office of Health Services Research EMR Compatibility CDEMS is already integrated with EMRs in Washington State CDEMS can interface with data in a variety of formats: HL7 Comma delimited Excel Access txt files

    21. WVU Office of Health Services Research Contact Information Cecil Pollard, Director (304) 293-1080 cpollard@hsc.wvu.edu Trisha Petitte, Assistant Director (304) 293-1084 tpetitte@hsc.wvu.edu Mary Swim, Applications Programmer (304) 293-1079 mswim@hsc.wvu.edu Adam Baus, Program Coordinator, Sr. (304) 293-1083 abaus@hsc.wvu.edu

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