Open AccessDiabetes Decision Support: Initial Experience With the Vermont Diabetes Information System
Author(s) -
Charles D. MacLean,
Benjamin Littenberg,
Michaël Gag
Publication year - 2006
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2005.065391
Subject(s) - psychological intervention , medicine , primary care , diabetes mellitus , chronic care , decision support system , population , diabetes management , medline , family medicine , gerontology , nursing , environmental health , type 2 diabetes , data mining , computer science , political science , law , endocrinology
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.