Improving diabetes management with electronic medical records

Varroud-Vial, Michel

doi:10.1016/s1262-3636(11)70965-x

Cited by 17 publications

(14 citation statements)

References 26 publications

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“…Despite the existence of sophisticated systems for data sharing across different levels of care, as well as research, implementation in England remains slow with potential benefits and risks of using integrated EHRs extensively considered in previous literature (Table ). To overcome concerns around data sharing, a 2010 report by a Diabetes UK task group encouraged people with diabetes to become actively involved in integration processes to ensure systems are underpinned by robust arrangements for information sharing…”

Section: Introductionmentioning

confidence: 99%

The use of information for diabetes research and care: patient views in West London

et al. 2016

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Data obtained during the care of people with diabetes mellitus may be used to advance research, improve quality, encourage innovation and support better self‐care. However, the perspective of people living with diabetes is less well understood. This study examines the views of people with diabetes regarding access to electronic health records (EHRs) for health care and research. Survey data from a sub‐group of 404 individuals with diabetes were analysed from a dataset of 5331 West London participants randomly sampled in a cross‐sectional survey. These findings were explored in more detail in a focus group discussion involving people with diabetes. Sixty‐seven percent of people with diabetes would support the inclusion of their full records on a national EHR for purposes of personal health provision. The vast majority (91%) would prefer to have access to their own full medical history rather than a truncated version. Seventy‐nine percent said they would allow their EHR to be used for research: 51% allowing their records to be shared without identifiers and 28% being supportive of access to their identifiable information. A number of themes emerged from the focus group discussion on integrated EHRs, including expectations for improved communication with health professionals, increased participation in the consultation process, responsibility for self‐care and data sharing for the greater good. In conclusion, wider sharing of health information may address some of the challenges diabetes care entails, although striking a balance between information fragmentation and sharing remains crucial to improve health, research and quality outcomes. Copyright © 2016 John Wiley & Sons.

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Section: Introductionmentioning

confidence: 99%

The use of information for diabetes research and care: patient views in West London

et al. 2016

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“…The provision of physician record templates would also help improving effectiveness. 3 A good sign is that most of our endocrinologists are now getting used to and are keen to use our DM EMR. We are now planning for phase 3, building IPD DM EMR as a tool for better diabetes care management in the Inpatient Department (IPD).…”

Section: Project Management Teammentioning

confidence: 99%

“…Furthermore, the provision of care coordination as recommended by ADA and Joint Commission International (JCI), can only be achieved by leveraging information system technology. 2,3 We looked for a tool to compliment and extend our HIS to deliver diabetes-specific care.We ultimately decided to innovate and develop a new diseasespecific electronic medical record (EMR) system to support the management of diabetes patients. Hopefully, this project will encourage other specialists to use this disease-specific EMR instead of traditional clinical records stored on paper.In summary, the expected goals of the project are as follows:-To create a system of choice for endocrinologists and other physicians to use interactively, allowing them to focus on the medical history rather than resorting to paper for clinical notes and orders.…”

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confidence: 99%

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Implementing a disease-specific Electronic Medical Record System at Bangkok Medical Center: Lessons Learned

Chinnapongse¹

2014

bkkmedj

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D iabetic Mellitus (DM) is a lifelong chronic disease that has a major impact on health care costs. Taking care of diabetic patients relies heavily on adequate and accurate informatics. In order for care providers to view a patient history and to be able to project the trend of future treatments, the health information system must be concise and include a function for easy access to patient records to efficiently locate all the related data. At the Bangkok Medical Center (BMC), the existing Hospital Information System (HIS) is mainly used to manage administrative functions, such as making appointments, registering patients, order entry, results reporting, and billing. The traditional paper clinical record from providers are still used and scanned as an image into the HIS. We found that the HIS is too generalized and broad, and does not meet the specific needs for diabetes management. The display of information is sub-optimal, not only because it's incomplete and often contains scanned images of illegibly written notes, but also because it presents a cluttered user interface (UI) that includes myriad windows with laboratory results, radiology reports and medication lists, making viewing of summarized data quite difficult.Additionally, The American Diabetes Association's (ADA) standards of medical care in Diabetes 2014 1 suggested that optimal diabetes management requires an organized, systematic approach with the involvement of a coordinated team of dedicated health care professionals working in an environment where patient-centered high-quality care is a priority. Furthermore, the provision of care coordination as recommended by ADA and Joint Commission International (JCI), can only be achieved by leveraging information system technology. 2,3 We looked for a tool to compliment and extend our HIS to deliver diabetes-specific care.We ultimately decided to innovate and develop a new diseasespecific electronic medical record (EMR) system to support the management of diabetes patients. Hopefully, this project will encourage other specialists to use this disease-specific EMR instead of traditional clinical records stored on paper.In summary, the expected goals of the project are as follows:-To create a system of choice for endocrinologists and other physicians to use interactively, allowing them to focus on the medical history rather than resorting to paper for clinical notes and orders. -To improve both function and workflow for effective management and care of DM Type 2 patients. -To achieve and sustain the standard medical care recommended by JCI and ADA. -To ensure effective communication between a multidisciplinary care team. -To reduce the use of paper and enable a fully digital clinical record of care.

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“…Healthcare providers managing patients with chronic conditions such as DM should consider using a certified EHR system capable of meeting quality measures such as MU and PQRS. These measures are routinely evaluated and updated to incorporate the specific needs of the DM patient [9][10][11][12][13][14][15][16][17][18]. Both patients and health care providers would benefit from a study using a certified EHR to compile patient data and study the trends of patient follow-up visits, lab work values, and medication compliance.…”

Section: Introductionmentioning

confidence: 99%

Certified Electronic Health Records and Quality of Health Care in Type II Diabetes Mellitus Patients

Hines¹,

Kumar²

2016

J Health Med Inform

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Great strides have been made in health care over the past six years after the implementation of the policy known as meaningful use by the Center of Medicare and Medicaid Services in USA. Health care subsidies and monetary incentive programs were created for eligible professionals and critical area hospitals to encourage the use of certified electronic health records in an effort to improve quality care of all acute and chronically ill patients, as well as provide routine examinations for healthy individuals. Patients diagnosed with type II diabetes mellitus were studied using a certified electronic health record system for compliance in physician ordered lab testing and follow-up visits with their primary care physician so as to confirm a positive effect on in the quality of patient health care. Diabetes mellitus is a disease which requires constant monitoring, thus creating an ideal patient study group. Research has confirmed that patient compliance significantly improves quality of health care outcomes; now it is time to determine that if the implementation of a certified electronic health record in the family practice setting improves patient compliance, thus improving quality of health care.

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Improving diabetes management with electronic medical records

Cited by 17 publications

References 26 publications

The use of information for diabetes research and care: patient views in West London

The use of information for diabetes research and care: patient views in West London

Implementing a disease-specific Electronic Medical Record System at Bangkok Medical Center: Lessons Learned

Certified Electronic Health Records and Quality of Health Care in Type II Diabetes Mellitus Patients

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