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Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures – 2012

Diabetes is a common chronic disease that requires long-term management. The Look AHEAD study was designed to test whether weight loss similarly improved cardiovascular morbidity and mortality in patients with type 2 diabetes. Further, “the health care provider must create and maintain adequate and appropriate records relating to all administrative and clinical aspects of the provision of treatment to an entitled person”(section 65 p 12 Notes for allied health providers). The “moving wall” represents the time period between the last issue available in JSTOR and the most recently published issue of a journal. Coordinating Center: A Nicolucci, MC Rossi, B Pintaudi, F Pellegrini, G Lucisano, M Valentini, D D’Alonzo, C Pirozzoli, R Memmo, B Di Nardo, Laboratory of Clinical Epidemiology of Diabetes and Chronic Diseases, Mario Negri Sud Foundation, S Maria Imbaro (CH), Italy. Measuring Patient Reported Outcomes ( PROs ) allows for better communication and shared decision making between patients and providers. There will be an opportunity for questions and answers following each presentation.

Blood glucose values (n = 23) at baseline and 12 months decreased from 179.0 mg/dL to 149.7 mg/dL, respectively (p < .05). The DHP has proven psychometric and operational performance and distinct advantages over other diabetes PROs when measuring psychological and behavioural impact on those living with diabetes. In conclusion, diabetes care for a poor minority population in a free clinic setting can compare favorably to care in the general population. 2012 Activities: In 2012, the research team focused on the analysis of the third aim, to examine the relationship between use of the DMF and patient process and outcome data. Outcomes were similar in the two settings and well below targets. Analysis for this aim was completed and a manuscript describing the results was developed and submitted to Health Services Research for an information technology-focused special issue. The combined use of a disease-specific instrument and a generic instrument may be a useful strategy for diabetes HRQOL assessment. Dr. Ballard and his team wrote a manuscript describing the analysis of the impact of the EHR on processes and outcomes of diabetes care, The Effectiveness of Implementing an Electronic Health Record on Diabetes Care and Outcomes. Our data shows seriously inadequate medical review and medication adjustment following abnormal clinical findings and investigations (notably BP and HbA1c), with an inadequate improvement after feedback of these findings. Eisenberg Article-of-the-Year, an annual award established in 2003 that recognizes excellent and original research among all articles published in the journal during the year.

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