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Diabetic patients are hiding in plain sight

Diabetes is a complex and costly chronic disease. Studies estimate that diabetes affects 8% of the U.S. population, but confirming this in patients who are undiagnosed, and identifying those at highest risk, remains challenging. At Allscripts Analytics, we’re transforming insights from traditional electronic health record (EHR) data into innovative methods for early identification of chronic disease and population health management. Variation in quality of diagnosis documentation within EHRs has necessitated development of new algorithms to more accurately define and manage our populations. After extensive data aggregation and normalization of clinical, claims, laboratory and pharmacotherapy data, our algorithms are validated on more than 40 million records to identify undiagnosed diabetic patients. Advancements in visualization tools enable us to deliver insights from this data to our clients in a simple, interactive format in real-time. It helps clinicians better identify undiagnosed and at-risk […]

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dbMotion helps Unity achieve better clinical outcomes

Unity Health System (Rochester, N.Y., U.S.A.) clinicians need a clear and comprehensive view of patient data to coordinate care. It is a challenge because the health system’s 346-bed hospital, 70 ambulatory sites, three nursing homes and home health agency use four different electronic health record (EHR) vendors. Unity turned to dbMotion from Allscripts to power its private health information exchange, branded u.Net Connect. Unity sites can now share information more easily with each other, and u.Net Connect enables the health system to link with Rochester’s regional health information organization (RHIO). The result? Positive clinical outcomes. Access to harmonized data helps clinicians better manage care, especially for patients with chronic diseases. For example, Unity’s vision for better care coordination attracted state funding three years ago to establish a  Community Diabetes Collaborative, which has helped reduce the number of patients with uncontrolled […]

Diabetes is an epidemic. Millions of Americans suffer from this disease.  The American Diabetes Association recently estimated the disease cost $245 billion in 2012.  While our healthcare system is adept at treating acute illness, patients and clinicians are often ill-equipped to manage chronic illnesses that require frequent communication between them. A study released by the Center for Disease Control notes that health IT is an essential component of chronic care models. Health IT can improve care coordination, advance self-management skills, and promote decision support. The UMass Memorial Health Care system serves about 33,000 patients with diabetes. To help improve patient outcomes, and integrate care across our health care system, we’ve been using MyCareTeam™ Diabetes Management for Allscripts Enterprise EHR™. We believe the system can help connect diabetic patients with their health care teams, can help engage patients in their own care, and […]

When I was a freshman in college I came down with a nasty cold. The cold symptoms went away but not the fatigue, weight loss and constant thirst…and I mean constant. I had an appointment at the health center later on, but my 8:00 am class professor told me in no uncertain terms that I should go that morning. Thank goodness she was one of the favorite professors I had there, and I was a little scared of her (in a good way), so I went early. The PA did a urine test and suggested that I go home right away to see my family doctor, because the results indicated type one diabetes. I was already very familiar with diabetes because my mom lived with type one diabetes for pretty much all of my life. Of course, I was still […]

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Human Interaction: Key Ingredient to EHRs Success

“I believe the key to this program’s success was simple human interaction.” This sentence near the end of a recent article in Group Practice Journal had a rather jarring effect on me. Tucked into a description of a program undertaken by Cornerstone Healthcare to drive fee-for-service revenue from value-based care, I realized these twelve words neatly sum up how to tap into the power of an EHR. In 2011, Cornerstone achieved patient-centered medical home (PCMH) status from the National Committee for Quality Assurance (NCQA).  But the North Carolina-based provider group pushed further to take advantage of the rich data it compiled to qualify for PCMH. They just needed to figure out how to tap into their EHR to proactively understand the care needs of its patient population. Cornerstone’s initial program focused on high-risk diabetes patients identified by three criteria. They […]

Kenosha Medical Center, United Hospital System

As CMIO of United Hospital System in Wisconsin, I try to make it easy for our physicians to get the information they need to make the best clinical decision. Recently we deployed a Medical Logic Module (MLM) for all 40 of our employed physicians so they can do just that.  Using the MLM, they can view, with one click in their Sunrise Ambulatory EHR, everything they need to manage a patient with chronic disease – and they can do it in less time, with improved accuracy and better outcomes. Before I go on, though, a little history might be in order.  If you’re not familiar with MLMs, you should be.  An MLM is a bit of computer wizardry that’s designed to find all the information within an EHR database pertinent to a single question and alert doctors when the right […]

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Nearly Half of HIMSS Attendees May Have This Chronic Disease

For a gathering of healthcare professionals, HIMSS registers pretty low on the healthy scale. Consider how attendees rank on just one chronic disease: An estimated 43 percent, or 15,000, of the 35,000 attendees expected at HIMSS12 in Las Vegas this week either have diabetes or pre-diabetes.  Impossible, you say?   To be fair, 43 percent represents the proportion of Americans with diabetes or pre-diabetes, according to the CDC’s National Diabetes Fact Sheet.  Presumably, the physicians, nurses and other healthcare professionals who attend HIMSS are better educated about diabetes than the average American, and less likely to be diabetic. The point is, far too many people – whether at HIMSS or in living rooms across the US – fall prey to America’s most prevalent chronic disease. As a result, total direct and indirect costs of diabetes in the United States are $174 […]