| HEALTHCARE PRODUCTS: CHRONIC DISEASE REGISTRY SYSTEM | |
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Button Systems, Inc., in coordination with VPQHC has successfully created, developed, and maintained the Vermont Health Record (VHR), a unique web-based chronic care registry system. This program allows individual medical practitioners throughout Vermont to enter secure, detailed patient, visit and lab data into the registry, and get practice based follow-up and comparative reports for their patient population. |
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This unique website was initially designed in coordination with
the Vermont Chronic Care Collaborative to allow the collaborative
members to consolidate their diabetes and cardiovascular data
into a statewide reporting system. The system has evolved into a
sophisticated online disease registry, with hundreds doctors
entering their data into the system.
The system allows an individual practitioner to track each of their patients with chronic diseases by entering key data elements about the visit of each patient. This data is combined with the lab tests for each patient to form a data “picture” of each patient. This picture of the patient’s conditions is reflected in the program’s patient level reports – called the patient summary and the encounter note. Each patient’s disease data and related conditions are then automatically analyzed for the practitioner, notifying them when a patient’s lab tests are needed, when a patient needs to be contacted, which patients are in need of chronic disease education about their particular disease, and other key treatment factors pertaining to that patient’s chronic disease. The VHR provides the practitioner with a selection of over 80 reports that can be selectively run as they follow up on their diabetes and cardiovascular patient base. These reports allow the practitioner to contact patients with specific needs across his entire patient population and address very specific pinpointed afflictions of their chronic care patients. Examples of this type of report include:
On a monthly basis, the web program calculates a series of clinical measurements that determine how the practitioner is responding to specific nationally acceptable levels of care of their chronically ill patients. The program then compares the practitioner’s practice measured results with other practices within the state that are participating in the VHR. These measurements provide the practitioner a point in time analysis of how their practice’s chronic care treatment compares with the successes of the other participants in a variety of key treatment factors. One of these measures pertains to how many of the practitioner’s diabetic patients have received two HBA1C blood tests in the last 12 months. This test is very important in the care of diabetic patients. As a practitioner’s report is generated, they can see their progress in dealing with diabetic patients over the last year. The following chart illustrates a real practitioner’s chart for the past 12 months. It shows how modifications in a practice’s methods for contacting their diabetic patients significantly improved their performance when using the VHR reporting reminders available.
Similarly, it is important for a practitioner to both address and record when they acquaint their diabetic patients with the variety of diabetes educational materials that are available to the patient. By educating the patient about their disease, they are better able to cope with and understand their disease, possibly avoiding serious complications due to misinformation or ignorance. Another of the measurements that the VHR program calculates for each practitioner is to chart the percentage of their diabetic patients that have received diabetes education. The following chart illustrates how the practitioner improved their ratings by providing this education to their diabetic patients. The chart shows distinct improvement in this single area by the participating practitioner.
Since 2010, a similar registry has been utilized by CHRISTUS St. Frances Cabrini hospital as part of their Mission2EndDiabetes project. It works in tandem with ConnectPoint, the CHRISTUS version of our closed social network application. |
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