CDEM S Diabetes Electronic Management System Chronic Disease Electronic Management System Dusty Knobel Computer Support Diabetes Prevention & Control Program Washington Dept of Health 360.236.3738
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CDEMS
Diabetes Electronic Management SystemChronic Disease Electronic Management
System
Dusty Knobel Computer Support Diabetes Prevention & Control Program Washington Dept of Health 360.236.3738
CDEMS
We are in a Revolution
Breakthrough SeriesChasm ReportOutcomes Measurement Project IOMAcute Care ModelCollaboratives
CDEMS
Chronic Care Model
GuidelinesVisit Redesign
Self Management Registry
Successful project include:
CDEMS
Chronic Care Model
GuidelinesVisit Redesign
Self Management Registry
Get someplace new - do something different
CDEMS
Chronic Care Model
GuidelinesVisit Redesign
Self Management Registry
Decide where you want to go
CDEMS
Chronic Care Model
GuidelinesVisit Redesign
Self Management Registry
Get the patient to help
CDEMS
Chronic Care Model
GuidelinesVisit Redesign
Self Management Registry
Track your progress
CDEMS
Chronic Care Model
GuidelinesVisit Redesign
Self Management Registry
Successful projects include:
Management Community
CDEMS
Rapid Change ToolsPDSA
Plan
DoStudy
Act
CDEMS
Change CyclePDSA
Plan
DoStudy
Act
CDEMS
Registry
Does Helps Provider during visit Assists Case management Allows Population Management Feedback on PDSA cycles
Is Not Electronic Record
CDEMS
Visit Note Helps Provider during visit Assists Case management Allows Population Management
CDEMS
Patient Lists Helps Provider during visit Assists Case management Allows Population Management
CDEMS
Summary Report Helps Provider during visit Assists Case management Allows Population Management
CDEMS
Impact on QualityHbA1C By Period Measured and Cohort
8
7.7
7.3 7.3
8
7.7
7.5
8.1
7.6
6.8
7
7.2
7.4
7.6
7.8
8
8.2
4/99-9/99 10/99-3/00 4/00-9/00 10/00-3/01
Measurement Period
Me
dia
n H
bA
1C
18mos
12mos
6mos
C/DEMS Features
Three MSAccess Files Data Entry Program Reports Linked Data File
Downloaded from www.cdems.com as self extracting zip files
CDEMS
Data Entry
Data TypesDemographicsVisit InformationHealth conditionsMedicationsServicesLabs
Actions Enter Edit Print
CDEMSReports
Summary Report Custom Hard coded
Patient Case Management ListUser Specific Queries
CDEMS
What is Cool
User can customizeProgram MorphsClinic basedUser driven
features Lab interface Multi-print Open Source Report Wizards
CDEMS
Inside CDEMS
tlkpSetUp (controls how visit note looks and what is stored)
tlkpCrosswalk (maps internal codes to displayed labels)
Building blocks
CDEMS
Crosswalk and SetupExamples:
CDEMS
Relationships
Maintain primary keys
Enforces data validity
Cascading referential integrity
CDEMS
Where are we?
National awardsCurrently 40,000 patients in C/DEMSCurrent Challenges:
Sandboxes in MSAccess 2003 EMRs Web based registries
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