Electronic Health Records

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Diabetes Registries under Meaningful Use Objectives Boost Care

By Vera Gruessner

Meaningful use objectives have brought about a significant push toward improving the quality of patient care as well as population health outcomes. The Medicare and Medicaid EHR Incentive Programs cover a wide variety of medical care processes including physician EHR use, electronic prescribing of medication, and public health reporting.

A team of researchers analyzed whether using diabetes registries to meet meaningful use objectives among primary care providers actually led to a variance in healthcare quality and rates of hospital utilization, according to the Journal of the American Medical Informatics Association (JAMIA).

The researchers conducted a practice assessment poll to find out how primary care practices were utilizing diabetes registries. The study looked at insurance claims data from five years ago and compared health outcomes in patients who were treated at facilities using diabetes registries to meet meaningful use objectives against the patient outcomes from other medical care settings.

The research team used logistic hierarchical linear modeling to study the data. The analysis covered more than 12,000 diabetic patients among 50 primary care practices. Type 2 diabetes patients who were treated in facilities with diabetes registries were given scheduled reminders had a higher rate of recommended laboratory testing and dilated retinal exams.

Type 2 diabetes patients who received regular reminders through diabetes registries had less likelihood of avoidable hospitalizations as well as emergency department visits. While Type 2 Diabetes patients saw improvements due to the meaningful use objectives requiring a registry, Type 1 diabetes patients did not see any significant implications due to the use of a registry.

The study concludes that healthcare providers who meet meaningful use objectives by using diabetes registries does, in fact, lead to lower hospitalization rates and higher likelihood of completing recommended lab tests among Type 2 diabetes patients.

Along with utilizing diabetes registries, digital health solutions for tracking health and wellness could also impact chronic disease management. Tactio and Influence Health have come together to offer effective health technologies that utilizes EHR data from multiple systems to help patients and caregivers monitor and track disease progression like diabetes along with utilizing a patient portal to better communicate with providers regarding an appropriate treatment plan.

“With Influence Health and Tactio, patients can track their health on their iPhone, iPad and Android devices. They can receive the coaching and education to live healthier lifestyles and better control chronic diseases such as obesity, hypertension, diabetes, atherosclerosis and COPD,” Michel Nadeau, P.Eng., President, CEO and Founder of the Tactio Health Group, said in a company press release. “Additionally, with consistent branding across an organization’s website, patient portal and mobile health apps, patients are able to access the healthcare organization they trust – anytime, from anywhere.”

These tools will help patients track their weight, blood pressure, and physical fitness metrics. Such technologies may lead to better chronic disease management and improved population health outcomes across the country.

“Partnering with Tactio provides an additional layer of information expanding capabilities and helping healthcare organizations strengthen patient participation in their health,” stated Bradley Case, GM/SVP, Clinical Solutions of Influence Health.




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