Framework for Making Systems Changes
Resources
for Information Systems
Please
note: Some
links on this page take you outside the Better Diabetes Care website. The NDEP
does not endorse or otherwise guarantee the accuracy of links that take you out
of this website.
- Computer Registry Tools from Better Diabetes Care Toolbox
Toolbox: Computer Registries
Several tools are listed, including systems for electronic chronic disease management and personal health records.
- The Agency for Healthcare Research and Quality (AHRQ)
www.ahrq.gov
AHRQ Quality Indicators
AHRQ Prevention Quality Indicators (PQIs) have information on quality of care measures for diabetes based on administrative data. The PQIs are part of a software tool distributed free by AHRQ.
www.qualityindicators.ahrq.gov/pqi_overview.htm
Diabetes Care Resource Guide and Workbook
Diabetes Care Quality Improvement: A Resource Guide for State Action and its companion workbook, Diabetes Care Quality Improvement: A Workbook for State Action.
www.ahrq.gov/qual/diabqualoc.htm
Healthcare Cost and Utilization Project (HCUP) Databases and Software Tools
Information on diabetes hospital stays using HCUPnet can be found online through a query system based on HCUP data, that provides access to health statistics and information on hospital stays at the national, regional, state, and community level.
hcup.ahrq.gov/HCUPnet.asp
National Healthcare Disparities Report
The National Healthcare Disparities Report provides information on disparities in care for diabetes.
www.ahrq.gov/qual/nhdr05/nhdr05.pdf
National Healthcare Quality Report
The 2005 National Healthcare Quality Report contains information on the quality of care for diabetes.
www.ahrq.gov/qual/nhqr05/nhqr05.htm
- Centers for Medicare and Medicaid Services: Resources for Quality Improvement
www.cms.hhs.gov/QualityImprovementOrgs
The Medicare Quality Improvement Community (MedQIC) is a national knowledge forum for health care and quality improvement professionals. It provides easy access to quality improvement resources and a community of professionals sharing knowledge and experiences to accelerate health care quality improvement across the nation.
- The American Health Quality Association (AHQA)
www.ahqa.org
AHQA represents Quality Improvement Organizations (QIOs) and professionals working to improve health care quality and patient safety. AHQA members develop and manage projects in health care quality improvement and evaluation for Medicare, Medicaid, and private payers and purchasers.
- QualityNet
www.qualitynet.org
Established by the Centers for Medicare & Medicaid Services (CMS), QualityNet provides healthcare quality improvement news, resources and data reporting tools and applications used by healthcare providers and others.
- Physician Quality Reporting Initiative
www.cms.hhs.gov/pqri/
This CMS initiative provides financial incentive for eligible professionals who successfully report a designated set of quality measures.
- WorldVistA
www.worldvista.org
WorldVistA has released an open source electronic health record and health information system based on and compatible with the U.S. Department of Veterans Affairs (VA) VistA®. WorldVistA helps those who choose the VistA® system to successfully master, install, and maintain the software for their own use.
This product meets a set of criteria for functionality (ability to create and manage electronic records for all patients, as well as automating workflow in a physician's office), interoperability (a first step in the ability to receive and send electronic data to other entities such as laboratories), and security (ability to keep patients' information safe).
Features include:
- Core VistA functions such as:
- patient registration
- clinical reminders for chronic disease management
- clinical order entry
- progress note templates
- results reporting
- Functionality tailored to meet the needs of clinics and physician offices, such as:
- ability to interface to existing practice management / billing systems, lab services and other applications
- scanning and inclusion of scanned documents into the medical record
- prescription finishing and faxing
- clinical quality measure reporting capabilities
- support for disease management, using clinical reminders
- templates for obstetrics/gynecology (OB/GYN) and pediatrics care
- The Medem Network: Connecting Physicians and Patients
www.medem.com
Founded by seven major medical societies, including American Medical Association, American Academy of Pediatrics, and American College of OB/GYN, Medem has established a physician-patient communications network, to facilitate online access to information and care for more than 100,000 physicians, their practices, and their patients. Physicians can communicate with their patients, answer questions, and renew prescriptions. Patients can maintain their own health record and sign up for education programs, including type 2 diabetes, and receive automated health information through secure email. Medem has around 50 partners that can be viewed at www.medem.com/am/am_societies.cfm.
- Peoplechart
www.peoplechart.com/Public/index.htm
Peoplechart helps patients collect, organize, and securely distribute copies of their medical records.
- Institute for Clinical Systems Improvement (ICSI)
www.icsi.org/knowledge
ICSI has evidence-based guidelines for management of type 2 diabetes. Each guideline includes algorithms, annotations, and tables.
- Institute of Medicine's Crossing the Quality Chasm Report
www.nap.edu/catalog/10027.html
A User's Manual For Institute of Medicine's Crossing the Quality Chasm Report
content.healthaffairs.org/cgi/reprint/21/3/80
Patients' experiences should be the fundamental source of the definition of "quality" (Donald Berwick, 2002).
- Montana Public Interest Research Group (MontPIRIG)
www.montpirg.org/issues/tracking.html
In 2001, the Montana legislature passed a MontPIRG backed bill to study the creation of a statewide chronic disease tracking system. MontPIRG serves on the legislative taskforce charged with crafting a system for Montana. The tracking system would give public health officials, health care providers, and communities centralized access to the tools needed to respond to and prevent chronic diseases such as diabetes.
- Resource and Patient Management System (RPMS) from the Indian Health Service
www.ihs.gov/Cio/RPMS/index.cfm?module=home&option=index
RPMS is an integrated solution for the management of clinical and administrative information in health care facilities of various sizes and orientations. Flexible hardware configurations, over 50 software applications, and network communication components combine to provide a comprehensive clinical, financial, and administrative solution.
- The Health Insurance Portability and Accountability Act (HIPAA)
www.aspe.hhs.gov/admnsimp and www.hhs.gov/ocr/hipaa.
In 1996, HIPPA created a health information privacy rule to safeguard privacy and confidentiality. HIPAA regulations need to be met and access should always be limited to providers of care who have been trained in the expected standards of confidentiality. For all providers, signed statements protecting the rights of the individual patient regarding data (both in print as well as electronic format) should be on file.
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Examples of Information Systems |
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