Yi Zhou, Robert Unitan, Jian Wang, Terhilda Garrido, Homer Chin, Marianne Turley, Linda Radler: Improving Population Care with an Integrated Electronic Panel Support Tool
In this study, the authors set out to study the impact of an electronic health record “integrated technology application” called the "Panel Support Tool" at Kaiser Northwest in Oregon and Washington state. The “PST” provided on screen point-of-care reminders, supported a patient registry and generated performance feedback using individual patient screen shots and practice panel summaries. Physicians were subjected to lab, medication and screening “care gap” reminders based on national guidelines, HEDIS measures and organizational priorities. To perform the study, the authors measured a series of cross sectional “care performance percentages” that consisted of the number of completed care recommendations (the numerator) divided by the number of indications for a total of 13 quality measures. These were obtained every 4 months for 20 months for 207 practice teams that collectively cared for over 263,000 patients. At baseline, the roll-up measure was 72.9% and it gradually increased to 80% at 20 months. During the study, there were no other "care gap" interventions, so even though this is pre-post, the authors believe the PST was responsible for the 7% improvement. Hardly a breakthrough, says the DMCB. But then again, nothing is.
Dahlia Remler, Jeanne Teresi, Ruth Weinstock, Mildred Ramirez, Joseph Eimicke, Stephanie Silver Steven Shea. Health Care Utilization and Self-Care Behaviors of Medicare Beneficiaries with Diabetes: Comparison of National and Ethnically Diverse Underserved Populations.
Donald Fetterolf: Long-Term Results Evaluation in Medical Management Programs.
Patricia Harrison, Pamela Hara, James Pope, Michelle Young, Elizabeth Rula: The Impact of Postdischarge Telephonic Follow-up on Hospital Readmissions.