Santa Cruz County, CA Diabetes Mellitus Registry (DMR)

加利福尼亚州圣克鲁斯县糖尿病登记处 (DMR)

• 批准号: 6949142
• 负责人: F WELLS SHOEMAKER
• 金额: $ 49.69万
• 依托单位: PAJARO VALLEY COMMUNITY HEALTH TRUST
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6949142
• 关键词: Internet; automated medical record system; behavioral /social science research tag; biomedical automation; computer assisted medical decision making; computer assisted patient care; cooperative study; diabetes mellitus; health care quality; health services research tag; interactive multimedia; patient /disease registry; patient care management

DESCRIPTION (provided by the applicant): The Santa Cruz County Diabetes Mellitus Registry project builds on a history of productive collaboration among the County's public, private, and not-for-profit health sectors. Two physician organizations, the County's Medicaid HMO, the health department, a local community college, and a local philanthropy form the project team. The clinical entities have agreed to share encounter/claim, laboratory, and pharmacy data to populate a County-wide diabetes registry. The registry software was developed by one of the physician groups, whose Medical Director will serve as the project's principal investigator. The existing registry is Web-based and interactive, giving physicians and their colleagues many options for improving the standard of diabetes care provided to patients. Prompts can remind physicians and medical assistants about needed tests at the point of care; the registry also can generate lists of patients overdue for exams or tests so that medical office staff can accelerate the appointment process. Because most of the data are captured electronically, the registry is populated with minimal burden within the office itself. Patients who change providers or health care plans can do so without losing their extensive histories of diabetes care; likewise, their providers potentially have immediate access to useful, accurate, and up-to-date information about their patients. The immediate goal of the Santa Cruz DMR project is to extend the existing registry to as many County providers as possible. This will be accomplished in phases, by customizing training, reaching agreements among the organizations about sharing data, and piloting and launching the registry in increments. This, in turn, will make it possible not only to improve the level of diabetes care within individual offices, but to make a higher standard of care consistent across the County. In addition, the registry will make it possible to track the County's diabetes population in the aggregate, to identify trends in key indicators of care and control of this preventable but potentially devastating - and costly - disease.

描述（由申请人提供）：圣克鲁斯县糖尿病注册表项目基于该县的公共，私人和非营利性健康部门之间生产性合作的历史。两个医师组织，该县的医疗补助HMO，卫生部门，一所当地社区学院和一个当地的慈善事业组成了项目团队。临床实体已同意共享遭遇/索赔，实验室和药房数据，以填充县范围内的糖尿病注册表。注册表软件是由一个医师组之一开发的，其医疗总监将担任该项目的主要研究人员。现有的注册表是基于网络的和互动的，为医生及其同事提供了许多选择，以改善为患者提供的糖尿病护理标准。提示可以提醒医生和医疗助理在护理点上需要进行的测试；该注册表还可以生成逾期考试或检查的患者清单，以便医疗办公室的工作人员可以加速任命。由于大多数数据都是电子捕获的，因此注册表在办公室本身内有最小的负担。改变提供者或医疗计划的患者可以这样做，而不会失去广泛的糖尿病护理病史；同样，他们的提供者可能会立即获取有关患者的有用，准确和最新信息。圣克鲁斯DMR项目的直接目标是将现有注册表扩展到尽可能多的县提供商。这将通过定制培训，在组织之间达成有关共享数据的协议，并以增量进行试点和启动注册表的协议来实现这一点。反过来，这将不仅可以提高各个办公室内的糖尿病护理水平，还可以使整个县的较高护理水平保持一致。此外，注册表将有可能在总体中跟踪该县的糖尿病人群，以确定对这种可预防但可能具有毁灭性且昂贵的疾病的关键指标的趋势。