Office of Health Services Research

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Office of Health Services Research

• Diabetes Prevention and Control Program

Partners Meeting July 11, 2006
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• This presentation was supported by
  Grant/Cooperative Agreement Numbers
  U32/CCU322734, U50/CCU321344, and
  U59/CCU324180-02 from the Centers for Disease
  Control and Prevention.
• Its contents are solely the responsibility of the
  authors and do not necessarily represent the
  official views of the Centers for Disease Control
  and Prevention.

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Map of Participating Sites
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Listing of Sites
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Online Map of Clinic Sites

• http//www.hsc.wvu.edu/som/cmed/ohsr/maps/ClinicMa
  p.html

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Online Map of WV Diabetes Prevention and Control
Program Sites
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CDEMS is Shareware

• Easily downloaded and installed from the
  Internet.
• OHSR website has a link to CDEMS for easy access
  by new clinics.
• Provide technical support to install CDEMS in the
  clinics if necessary.

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Address for OHSR Website for Downloads

• http//www.hsc.wvu.edu/som/cmed/ohsr/

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(No Transcript)
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Where are we now?

• The WV DPCP is working with 30 clinic sites
• Provide support for CDEMS and PECS
• Provide educational programs
• Provide on-site support

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Number of Patients with Diabetes in CDEMS or PECS
Electronic Patient Registries
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Conversion of CV-DEMS to CDEMS

• Most clinic registries have been converted from
  CV-DEMS to CDEMS.
• New features in CDEMS include
• Tickler system which reminds providers of
  services for which patient is overdue
• When laboratory values are out of range
• More options for Reminder Letters
• More flexibility to create customized reports
• Electronic interface with LabCorp

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CDEMS Tickler for Diabetes
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Tickler System will Indicate Patient Care Needs

• Example If a patients HbA1c is above recommended
  value
• If patients laboratory value is high for fasting
  glucose an education module on hyperglycemia will
  be reviewed with the patient

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Data from Five Sites

• The following slides show data from five
  different sites
• These data show CDEMS and PECS sites
• Community Health Centers and a Private Provider

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Patients With at Least One HbA1c in the Past Year
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Average HbA1c
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Patients with Self Management Goals
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Patients LDL lt100
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BP lt130/80
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Preliminary Results of Three Cohort Studies

• Pre and post comparison for three community
  health centers
• Cohort populations are 100,125, and 100 patients
  each
• Clinic A is for 12 months Pre and 10 months Post
• Clinic B and C are 12 months Pre and Post

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Average HbA1c Results among Patients with
Diabetes within Clinics A-C PRE POST CDEMS
Implementation
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Average Cholesterol among Patients with Diabetes
within Clinics A-C PRE POST CDEMS
Implementation
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Average Triglycerides among Patients with
Diabetes within Clinics A-C PRE POST CDEMS
Implementation
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Average HDL among Patients with Diabetes within
Clinics A-C PRE POST CDEMS Implementation
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Average LDL among Patients with Diabetes within
Clinics A-C PRE POST CDEMS Implementation
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Why we are doing Utilization Review
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CDEMS Utilization Review

• Study of 3 clinics that have been using CDEMS for
  at least 18 months.
• Comparison of patient data prior to CDEMS and
  after the implementation of CDEMS.
• Analysis is seeking to identify the impact that
  CDEMS registry has had on quality of care and
  health care utilization.

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Data Items to be Collected for Utilization Review

• Number of patient visits
• Number of laboratory test performed in accordance
  with ADA 2006 guidelines
• Laboratory results
• Patient education
• ER visits
• Hospitalizations
• Reason for acute visit

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CDEMS Utilization Review

• Project will be completed during the next
  quarter.
• Result to be analyzed and final report available
  Fall 2006.

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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, Research Assistant
• [phone] abaus_at_hsc.wvu.edu