Outpatient EHR-based diabetes clinical decision support that works: Lessons learned from implementing Diabetes Wizard

Diabetes Spectrum

Volumn 23, Issue 3, 2010, Pages 150-154

  Sperl Hillen, JoAnn M ^a   Averbeck, Beth ^a   Palattao, Kevin ^b   Amundson, Jerry ^a   Ekstrom, Heidi ^a   Rush, Bill ^a   O'Connor, Patrick ^a  

^a HEALTHPARTNERS INSTITUTE   (United States)

^b GroupHealth   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HEMOGLOBIN A1C; LOW DENSITY LIPOPROTEIN CHOLESTEROL;

ALGORITHM; ELECTRONIC MEDICAL RECORD; GLYCEMIC CONTROL; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH PROGRAM; HEALTH SURVEY; HUMAN; LIFESTYLE MODIFICATION; MEDICAL DECISION MAKING; NON INSULIN DEPENDENT DIABETES MELLITUS; OUTPATIENT CARE; PATIENT MONITORING; REVIEW; SATISFACTION; SYSTOLIC BLOOD PRESSURE;

EID: 79955412283     PISSN: 10409165     EISSN: 19447353     Source Type: Journal    
DOI: 10.2337/diaspect.23.3.150     Document Type: Review

References (20)

1. O'Connor P, Sperl-Hillen JM, Rush WA, Johnson PE, Amundson JH, Asche SA, Ekstrom HL: EMR-based clinicial decision support system improved glucose and blood pressure control in adults with diabetes. Diabetes 58 (Suppl. 1):A13., 2009
2. Saydah SH, Fradkin J, Cowie CC: Poor control of risk factors for vascular disease among adults with previously diagnosed diabetes. JAMA 291:335-342, 2004 (Pubitemid 38101606)
3. Minnesota Heathscores: MNCOMM. Minnesota Community Measurement 2008-2009 HIT Survey. Available online at http://www.mnhealthscores.org/?p=our- reports&sf=clinic&category=1&sub-category=. Accessed 22 June 2010
4. Hoerger TJ, Segel JE, Gregg EW, Saaddine JB: Is glycemic control improving in U.S. adults? Diabetes Care 31:81-86, 2008
5. Patel A, MacMahon S, Chalmers J, Neal B, Woodward M, Billot L: Effects of a fixed combination of perindopril and indapamide on macrovascular and microvascular outcomes in patients with type 2 diabetes mellitus (the ADVANCE trial): a randomised controlled trial. Lancet 370:829-840, 2007 (Pubitemid 47362321)
6. O'Connor PJ: Overcome clinical inertia to control systolic blood pressure. Arch Intern Med 163:2677-2678, 2003
7. Gaede P, Lund-Andersen H, Parving HH, Pedersen O: Effect of a multifactorial intervention on mortality in type 2 diabetes. N Engl J Med 358:580-591, 2008 (Pubitemid 351214285)
8. Wald NJ, Law MR: A strategy to reduce cardiovascular disease by more than 80%. BMJ 326:1419-1423, 2003 (Pubitemid 36776151)
9. Karter AJ, Parker MM, Moffet HH, Ahmed AT, Schmittdiel JA, Selby JV: New prescription medication gaps: a comprehensive measure of adherence to new prescriptions. Health Serv Res. 44(5 P1):1640-1661, 2009
10. Tarn DM, Heritage J, Paterniti DA, Hays RD, Kravitz RL, Wenger NS: Physician communication when prescribing new medications. Arch Intern Med 166:1855-1862, 2006
11. O'Connor PJ: Improving medication adherence: challenges for physicians, payers, and policy makers. Arch Intern Med 166:1802-1804, 2006
12. O'Connor PJ, Sperl-Hillen JM, Johnson PE, Rush WA: Identification, classification, and frequency of medical errors in outpatient diabetes care. In Advances in Patient Safety: From Research to Implementation. Vol. 1. Henriksen K, Battles J, Lewin D, Marks E, Eds. Rockville, Md., Agency for Healthcare Research and Quality, 2005, p. 369-380. Available online from http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=aps&part=A1245. Accessed 8 June 2010
13. O'Connor PJ, Sperl-Hillen JM, Johnson PE, Rush WA, Biltz G: Clinical inertia and outpatient medical errors. In Advances in Patient Safety: From Research to Implementation. Vol. 2. Henriksen K, Battles J, Lewin D, Marks E, Eds. Rockville, Md., Agency for Healthcare Research and Quality, 2005, p. 293-308. Available online from http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi? book=aps2&part=A2769. Accessed 8 June 2010
14. Schmittdiel JA, Uratsu CS, Karter AJ, Heisler M, Subramanian U, Mangione CM: Why don't diabetes patients achieve recommended risk factor targets? Poor adherence versus lack of treatment intensification. J Gen Intern Med 23:588-594, 2008
15. Meigs JB, Cagliero E, Dubey A, Murphy-Sheehy P, Gildesgame C, Chueh H: A controlled trial of web-based diabetes disease management: the MGH diabetes primary care improvement project. Diabetes Care 26:750-757, 2003 (Pubitemid 36929339)
16. Montori VM, Dinneen SF, Gorman CA, Zimmerman BR, Rizza RA, Bjornsen SS, Green EM, Bryant SC, Smith SA; Translator Project Investigator Group: The impact of planned care and a diabetes electronic management system on community-based diabetes care: the Mayo Health System Diabetes Translation Project. Diabetes Care 25:1952-1957, 2002
17. Crosson JC, Stroebel C, Scott JG, Stello B, Crabtree BF: Implementing an electronic medical record in a family medicine practice: communication, decision making, and conflict. Ann Fam Med 3:307-311, 2005 (Pubitemid 41176306)
18. Orzano AJ, Strickland PO, Tallia AF, Hudson S, Balasubramanian B, Nutting PA: Improving outcomes for high-risk diabetics using information systems. J Am Board Fam Med 20:245-251, 2007 (Pubitemid 46871213)
19. O'Connor PJ, Crain AL, Rush WA, Sperl-Hillen JM, Gutenkauf JJ, Duncan JE: Impact of an electronic medical record on diabetes quality of care. Ann Fam Med 3:300-306, 2005 (Pubitemid 41176305)
20. Welch WP, Bazarko D, Ritten K, Burgess Y, Harmon R, Sandy L: Electronic health records in four community physician practices: impact on quality and cost of care. J Am Med Inform Assoc 14:320-328, 2007 (Pubitemid 46636348)