Transcript Slide 1

PUTTING ELECTRONIC HEALTH RECORD DATA TO MEANINGFUL USE
Authors: Adam Baus MA, MPH, West Virginia University School of Public
Health, Office of Health Services Research; Cecil Pollard MA, West Virginia
University School of Public Health, Office of Health Services Research;
Gina Wood RD, LD, West Virginia Bureau for Public Health, Diabetes
Prevention and Control Program; Betsy Thornton RN, BSN, West Virginia
Bureau for Public Health, Cardiovascular Health Program
Background
Results
Type 2 diabetes is largely preventable and its complications, including
coronary heart disease, stroke, and peripheral arterial disease, can be
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delayed through early detection and treatment . However, community
screenings for chronic conditions are often cost-prohibitive and fail to
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link positively identified individuals to follow-up care .
Preliminary analysis indicates that the procedures and analysis tools successfully
identify patients at-risk for pre-diabetes (Table 1). Among the 94,283 established
patients without a documented diagnosis of diabetes or pre-diabetes, 10,673
(11.3%) meet one or more inclusion criteria for being at-risk for pre-diabetes.
Analysis also indicates that these procedures can identify patients at-risk for or
undiagnosed with hypertension (Table 2).
Methods
The WV Bureau for Public Health and WVU Office of Health Services
Research train and support WV primary care centers in using clinical
data to drive practice and policy change for chronic disease quality of
care improvement. This has created a network of clinics and data
infrastructure capable of repurposing electronic health record (EHR)
data into a standardized chronic disease registry to identify persons atrisk and in need of screening or intervention.
Partnering
primary care
centers (48)
Sites sharing
de-identified
data (32)
DM
Intervention
Sites (16)
CVH
Intervention
Sites (3)
Partner sites
Discussion
Primary care centers can repurpose EHR data into a searchable patient registry to
efficiently and systematically identify patients in need of screening or
intervention and increase the quality of care for patients with hypertension and
diabetes. This addresses a critical barrier in improving patient care through
enhanced data management and use. The overall impact of this clinical quality
project can bolster use of EHR data for quality improvement in primary care, and
increase opportunity for successful chronic disease outcomes research,
surveillance, and program planning by academic and public-health institutions.
Learn more at: publichealth.hsc.wvu.edu/ohsr