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Jackie Gianunzio CDEMS Support Specialist

Intro to CDEMS. Jackie Gianunzio CDEMS Support Specialist. CDEMS Highlights. Overview Data Entry Reports: using the data Start Up! Support Resources. About CDEMS C hronic D isease E lectronic M anagement S ystem Developed by WA Diabetes Prevention & Control Program - 1999

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Jackie Gianunzio CDEMS Support Specialist

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  1. Intro to CDEMS Jackie Gianunzio CDEMS Support Specialist

  2. CDEMS Highlights • Overview • Data Entry • Reports: using the data • Start Up! • Support Resources

  3. About CDEMS • Chronic Disease Electronic Management System • Developed by WA Diabetes Prevention & Control Program - 1999 • Used by community health centers, primary care practices, rural clinics, hospitals, IPA’s nationwide

  4. CDEMS User Map • Ontario, Canada • Haiti • Mayiladuthurai, India • Nigeria, South Africa • Trinidad/Tobago, South Africa 6/2010

  5. Features • Flexible & customizable • Free! • Transition HIT tool • Clinic-owned registry; no required reporting • Optional electronic lab interface & aggregate reporting modules

  6. What is CDEMS? • A registry focused on chronic disease health care • A progress note for planned care • A case management tool w/alerts & reminders • An evidence-based tool for organized, standard approach to care • Population-based reports

  7. Chronic Condition Tracks • Diabetes • Asthma • Depression • Cardiovascular • HIV • Cancer • Obesity • Chronic Pain • Adult Preventive Services

  8. Community Health System Health Care Organization Resources and Policies ClinicalInformationSystems Self-Management Support DeliverySystem Design Decision Support Prepared, Proactive Practice Team Informed, Activated Patient Productive Interactions Improved Outcomes “Part of the Chronic Care Model”

  9. Paper-based Progress Note

  10. Self-Management Tool

  11. Flexible Reporting • Measure clinic-wide & provider performance • Population-based queries identify who’s overdue or missing treatment • Evaluate impact of quality improvement initiatives • Document outcomes for reimbursement

  12. Technical Specs • Microsoft Access databaseAccess versions 97, 2000/2002/2003, 2007/2010 • Install on single PC or network • Works on Mac w/Windows interface • Open source-code

  13. Data Entry Program Electronic Lab Interface (optional) Reports Program Program Structure Data file (cdem_dta.mdb) • your patient data • your CDEMS setup

  14. Data Entry Highlights • Print • Entry • Edit

  15. Single Data Entry Screen

  16. Registry Customizations • Conditions & Measures • Tickler Alert Settings • Pick Lists/Validation Rules • Progress Note Style & Layout • Lab Graphs

  17. Use your registry data! • Population-based analysis- identify patients needing care - reports by provider, clinic, clinic group • Identify areas for improvement (gaps in care) • Measure success of QI efforts • Collaborative, state & federal agency, grants reporting • Documenation for quality certifications, pay-for-performance reimbursements

  18. Types of Reports • Progress Note • Summary Reports (statistical) • Intervention Lists (patient lists) • Custom Queries

  19. 1. Identify reporttime period 2. Select a clinic 3. Choose a report CDEMS Reports

  20. Sample DM Summary Report

  21. Excel graphs from run chart data

  22. Patients with HbA1c>7 Patients with foot checks Patients with current visit Patients without visit Patients with HbA1c< 7 Patients missing foot checks Sample DM Intervention Report

  23. Registry Start Up • Download CDEMS files at www.cdems.com • Set up clinic • Customize PCP/ethnicity/insurance dropdown lists, measures, ticklers • Enter (import) patient demographics • Record patient health information

  24. Self-Support Resources • www.cdems.com- User Guides- User Forum- Shared Resources • e-mail list • National CDEMS User Support teleconferences

  25. Fee-Based Support • Web TrainingData Entry & Reports webinars • Tech SupportOn DemandAssistance with start-up, data imports, customizations, special reports/queries, troubleshooting technical issues, lab interfaces, data cleanup • Jackie GianunzioCDEMS Support Specialistjackie@cdems.com ~ 916-817-1401www.support.cdems.com

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