Overview of the Chronic Disease Electronic Management System CDEMS

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Overview of the Chronic Disease Electronic
Management System (CDEMS)

• WVU Department of Community Medicine
• Office of Health Services Research

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Our Sponsors
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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

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CDEMS Users Nationwide
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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

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Statewide Sites

• Google Maps
• WVU OHSR
• http//www.hsc.wvu.edu/som/ cmed/ohsr/maps/ClinicM
  ap.html

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Health Centers with Established Electronic
Patient Registries, by Time Period
(WV DPCP)
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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

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How does CDEMS work?
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CDEMS Addresses the Care Model
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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

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Decision Support

• CDEMS Progress Note displays information in five
  sections
• Demographics
• Health Conditions
• Medications
• Services
• Laboratory Results/Measures
• All components are customizable

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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

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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

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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

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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 gt200?
• Which patients need specialty education or
  services?
• Are patients within national standards of patient
  care?

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Necessary Equipment

• Computer
• Microsoft Windows 98 or later operating system
• Printer
• Color, if available
• Microsoft Access
• OHSR supplies this software free-of-charge

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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

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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

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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

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Contact Information

• Cecil Pollard, Director
• [phone] cpollard_at_hsc.wvu.edu
• Trisha Petitte, Assistant Director
• [phone] tpetitte_at_hsc.wvu.edu
• Mary Swim, Applications Programmer
• [phone] mswim_at_hsc.wvu.edu
• Adam Baus, Program Coordinator, Sr.
• [phone] abaus_at_hsc.wvu.edu