Diabetes decision support: initial experience with the Vermont diabetes information system

American Journal of Public Health
Charles D MacLeanMichael Gagnon

Abstract

Interventions that have proven effective in the management of chronic illness have often been difficult to establish in widespread practice. The Chronic Care Model provides a framework for implementing interventions, but it is expensive and difficult to implement. We developed a decision support system based on this model to improve the care of adults who have diabetes and receive primary care in Vermont or adjacent New York. The Vermont Diabetes Information System uses a network of community laboratories for providing data to produce flowsheets, reminders, action alerts, and population reports that are sent to primary care providers by fax and to patients by mail. Currently, 7295 patients are cared for by 124 primary care providers in 62 practices and are enrolled in a randomized controlled trial to study its effects.

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Citations

Oct 29, 2009·Journal of General Internal Medicine·Charles D MacleanBenjamin Littenberg
Oct 14, 2006·Diabetes Technology & Therapeutics·Grace Joshy, David Simmons
Apr 7, 2009·Diabetes Technology & Therapeutics·Leila KhanRobert A Gabbay
Dec 12, 2012·Population Health Management·Adrianne C FeldsteinNancy L Lee
Aug 10, 2011·Implementation Science : IS·Pavel S RoshanovUNKNOWN CCDSS Systematic Review Team
Jun 16, 2012·American Journal of Public Health·Carl J CaspersenAnn L Albright
Oct 27, 2010·Health Outcomes Research in Medicine·Shamima KhanBenjamin Littenberg
Sep 16, 2009·The Milbank Quarterly·Shadi ChamanyThomas R Frieden
Sep 16, 2009·The Milbank Quarterly·Michelle M Mello, Lawrence O Gostin
Dec 4, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·R JefferyUNKNOWN CDSS Systematic Review Team
Oct 18, 2007·Current Opinion in Endocrinology, Diabetes, and Obesity·Gretchen A Piatt, Janice C Zgibor
Mar 30, 2017·Archives of Pathology & Laboratory Medicine·Nicolas DelvauxBert Aertgeerts
Feb 14, 2015·Journal of Medical Internet Research·Deede GammonCornelia Ruland
Oct 18, 2007·Current Opinion in Endocrinology, Diabetes, and Obesity

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