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Development and implementation of a computer-generated reminder system for diabetes preventive care

Authors

Nilasena DS, Lincoln MJ, Turner CW, Warner HR, Foerster VA, Williamson JW, Stults BM

Journal

Proc Annu Symp Comput Appl Med Care

Publication Date

1994

Pages

831-5

HIT Description: Stand-alone computer-assisted preventative health reminder system More info...
Purpose of Study: To describe the implementation of a computerized reminder system for diabetes
Years of study: 1994
Study Design: Observational and survey method
Outcomes: Number of clinical deviations from recommended care for diabetic patients

Summary:

Settings: Academic teaching general internal medicine residency clinics at a university hospital and Veteran's Administration Hospital.
Intervention: Implementation of computer-assisted reminder system
Evaluation Method: Frequency of computerized recommendations regarding diabetes care and survey of end-user experience and attitudes.
HIT System: Stand-alone computerized reminder system, with manual input of clinical data by clerks to generate guideline/decision-support recommendations.
Barriers: Unavailable patient charts, missed/rescheduled appointments, failure to place print reminder sheet in chart before the visit
HIT System Sustainability: Declination of use, especially significant at one of the two sites
Quality of Care and Patient Safety Outcome: An average of 13 of possible 21 recommendation flags for diabetic care were generated by the system for each patient enrolled in the study.
Changes in efficiency and productivity: An average of 15-20 minutes to abstract patient baseline data from the chart, 10 minutes to enter the data into the system, 30 seconds to print the reminder report, 90 seconds to complete the encounter report by the physician and 45 seconds to enter the data back into the system.

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