Clinical informatics to improve quality of care: A population-based system for patients with diabetes mellitus

Rajeev Chaudhry, Sidna M. Tulledge-Scheitel, Matthew R. Thomas, Vicki L. Hunt, Juliette T. Liesinger, Ahmed S. Rahman, James M Naessens, Lynn A. Davis, Robert J. Stroebel

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background The prevalence of diabetes mellitus is increasing in the USA. However, control of intermediate outcome measures remains substandard. Recently, significant emphasis has been placed on the value ofelectronic medical records and informatics systems to improve the delivery of health care. Objective To determine whether a clinical informatics system improves care of patients with diabetes mellitus. Methods In this quality improvement pilot initiative, we identified 48 patients with diabetes mellitus who were due for their annual haemoglobin A1c (HbA1c), low-density lipoprotein (LDL) and micro- albumin tests. Through our newly developed clinical informatics initiative, patients were reminded to schedule tests and a physician appointment. Seventy- five patients without reminders served as controls. Results A significant improvement in LDL control was achieved in the intervention group (35.4% vs 13.3%; P=0.004). The intervention group had a greater percentage of patients who underwent the three tests, and members ofthis group also showed greater control of haemoglobin A1c, but these differences were not statistically significant. Conclusions A clinical informatics system, used to deliver proactive, co-ordinated care to a population of patients with diabetes mellitus, can improve process and also quality outcome measures. Larger studies are needed to confirm these early findings.

Original languageEnglish (US)
Pages (from-to)95-102
Number of pages8
JournalInformatics in Primary Care
Volume17
Issue number2
StatePublished - Sep 2009

Fingerprint

Medical Informatics
Quality of Health Care
Medical problems
Diabetes Mellitus
Lipoproteins
Hemoglobin
Population
LDL Lipoproteins
Appointments and Schedules
Hemoglobins
Outcome Assessment (Health Care)
Health care
Quality Improvement
Medical Records
Albumins
Patient Care
Delivery of Health Care
Physicians

Keywords

  • Clinical informatics
  • Diabetes mellitus
  • Quality of health care

ASJC Scopus subject areas

  • Health Informatics
  • Family Practice
  • Leadership and Management

Cite this

Chaudhry, R., Tulledge-Scheitel, S. M., Thomas, M. R., Hunt, V. L., Liesinger, J. T., Rahman, A. S., ... Stroebel, R. J. (2009). Clinical informatics to improve quality of care: A population-based system for patients with diabetes mellitus. Informatics in Primary Care, 17(2), 95-102.

Clinical informatics to improve quality of care : A population-based system for patients with diabetes mellitus. / Chaudhry, Rajeev; Tulledge-Scheitel, Sidna M.; Thomas, Matthew R.; Hunt, Vicki L.; Liesinger, Juliette T.; Rahman, Ahmed S.; Naessens, James M; Davis, Lynn A.; Stroebel, Robert J.

In: Informatics in Primary Care, Vol. 17, No. 2, 09.2009, p. 95-102.

Research output: Contribution to journalArticle

Chaudhry, R, Tulledge-Scheitel, SM, Thomas, MR, Hunt, VL, Liesinger, JT, Rahman, AS, Naessens, JM, Davis, LA & Stroebel, RJ 2009, 'Clinical informatics to improve quality of care: A population-based system for patients with diabetes mellitus', Informatics in Primary Care, vol. 17, no. 2, pp. 95-102.
Chaudhry R, Tulledge-Scheitel SM, Thomas MR, Hunt VL, Liesinger JT, Rahman AS et al. Clinical informatics to improve quality of care: A population-based system for patients with diabetes mellitus. Informatics in Primary Care. 2009 Sep;17(2):95-102.
Chaudhry, Rajeev ; Tulledge-Scheitel, Sidna M. ; Thomas, Matthew R. ; Hunt, Vicki L. ; Liesinger, Juliette T. ; Rahman, Ahmed S. ; Naessens, James M ; Davis, Lynn A. ; Stroebel, Robert J. / Clinical informatics to improve quality of care : A population-based system for patients with diabetes mellitus. In: Informatics in Primary Care. 2009 ; Vol. 17, No. 2. pp. 95-102.
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