Effective Use of Patient Registries for Members and NonMembers of Health Disparities Collaborative

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Effective Use of Patient Registries for Members
and Non-Members of Health Disparities
Collaborative

• West Virginia University
• Department of Community Medicine
• Office of Health Services Research
• Cecil Pollard, Kelly Bailey, Nell Stuart, Trisha
  Petitte
• Mary Swim, Adam Baus, Marie Gravely

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• This presentation was supported by
  Grant/Cooperative Agreement Number U32/CCU322734
  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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BACKGROUNDElectronic Patient Registries for
Diabetes Management in WV

• 5 years of registry use
• Two types of registries being used
• PECS (4 sites)
• CDEMS (28 sites)
• Both registries are supported by WVU Office of
  Health Services Research (OHSR)

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Site Map WVU Office of Health Services Research
Hancock
Brooke
Ohio
Marshall
Monongalia
Wetzel
Marion
Morgan
Pleas-
Berkeley
Tyler
ants
Preston
Jeff-
Mineral
Taylor
erson
Dodd-
Hampshire
Harrison
ridge
Barbour
Wood
Ritchie
Grant
Tucker
Hardy
Wirt
Lewis
Gilmer
Cal-
houn
Jackson
Upshur
Randolph
Mason
Roane
Pendleton
Braxton
Putnam
Webster
Clay
Cabell
Nicholas
Kanawha
Pocahontas
Wayne
Lincoln
Boone
Fayette
Greenbrier
Logan
Mingo
Raleigh
Sum-
Wyoming
Monroe
mers
Mercer
McDowell
Last updated 03/04/2008
Last updated 03/04/2008
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Health Centers with Electronic Patient
Registries, by Quarter
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Number of Patients with Diabetes Being Tracked,
by Quarter
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Our Initial Look at Registry Data

• Initial analysis based on data from 6 health
  centers (N 661 cohort-only patients)
• Presented at CDCs 2007 Diabetes Conference
• Findings
• Improved documentation of annual exams, wellness
  screens, education
• Improved lab values HbA1c, LDL, Total
  Cholesterol

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Current Study

• Do we find the same improvements in a larger
  sample of patients?
• Does National Health Disparities Collaborative
  membership impact care (HDC compared to non-HDC
  sites)?
• Submitted to Journal of Rural Health as
  Electronic Patient Registries Improve Diabetes
  Care and Clinical Outcomes in Rural Community
  Health Centers

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Current Studys Cohort

• 14 health centers (N 1710 cohort-only
  patients)
• HDC 4 health centers (n 1059)
• Non-HDC 10 health centers (n 651)
• 97.8 type 2 diabetes
• Ages 18 to 97 years mean age 60.50 years
• 58.6 female

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Improvements in Documentation Annual
Examinations
Foot
Eye
Dental




Note plt.01
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Improvements in Documentation Screens to Promote
Wellness
Depression
Smoking
Exercise 3x/wk






Note plt.01
All Members had significant improvements.
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Improvements in Documentation Immunizations
Influenza
Pneumococcal



Note plt.01
HDC Members had more significant improvements.
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Improvements in Documentation Education
CVD
DM
Nutrition
Self-Mgmt Goal







Note plt.01
HDC Members had more significant improvements.
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Improvements in Health Outcomes Blood Pressure
p lt .01
p lt .01
15
Improvements in Health Outcomes Glycemic Control
p lt .01
p lt .01
p lt .01
16
Improvements in Health Outcomes Lipids
p lt .01
p lt .01
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Improvements in Health Outcomes Lipids
p lt .01
p lt .01
p lt .01
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Overall Findings

• Were finding improvements in the documentation
  of
• Annual exams
• Screens to promote wellness
• Immunizations
• Education
• Were finding improvements in lab values
• Glycemic control
• Lipids
• Blood pressure

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Conclusions

• Do we find the same improvements in a larger
  sample of patients?
• Does National Health Disparities Collaborative
  membership impact care (HDC compared to non-HDC
  sites)?

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OHSR Contact Information

• Cecil Pollard, Director
• [phone] cpollard_at_hsc.wvu.edu
• Trisha Petitte, Assistant Director, Health
  Improvement Consultant
• [phone] tpetitte_at_hsc.wvu.edu
• Mary Swim, Applications Programmer
• [phone] mswim_at_hsc.wvu.edu
• Adam Baus, Program Coordinator Sr.
• [phone] abaus_at_hsc.wvu.edu
• Nell Stuart, Health Improvement Consultant
• [phone] nstuart_at_hsc.wvu.edu
• Marie Gravely, Health Improvement Consultant
  Marshall University
• [phone] gravely3_at_marshall.edu

Office website wvuohsr.org