Transcript Boldiston_cdmNetx

Snapshot of the evaluation cdmNet:
cdmNet:
Online Chronic Disease Management
Mary Boldiston
Precedence Health Care
[email protected]
Ph: 0432 615 785
cdmNet Project Overview
1. Best practice:
Requires longitudinal planned care, in collaboration
with the care team, including the patient and with
regular follow-up and review
2. GPs find this hard to implement because:
They don’t have enough time, there’s too much
paper work, and it is hard to ensure Medicare
requirements are followed. All this overhead
distracts from patient needs.
3. Trials of cdmNet:
Monash University and Deakin University conducted
trials of cdmNet in the Barwon South Western
Region of Victoria in 2009 involving 12 GPs and 100
patients. It included analysis of service use and
health outcome measures, and collection of
information from surveys and expert panels.
How cdmNet works:
•
•
•
•
•
•
•
Extracts patient data from GP
desktop
Creates electronic, personalised,
best-practice care plan
Shares care plan and health record
with care team and patient
Monitors and updates care plan and
health record
Automates follow-up and review
Supports patient self management
Manages Medicare compliance
cdmNet Evaluation
The trials showed that the use of cdmNet
resulted in increases of:
•
•
•
•
205% in GP Management Plans;
201% in Team Care Arrangements;
595% in GPMP Reviews;
358% in TCA Reviews
Quality of care was also greatly improved with
increased compliance with best practice
guidelines and greater collaboration:
•82% in HbA1c tests (compared with 4% regionally)
•75% in microalbumin tests (12%)
•66% in HDL tests (-4%)
•1645% in dietician services (26%)
•151% in podiatry services (53%), and
•498% in HMR services (23%).
Patients also received automatic reminders of the need to make
appointments by SMS and email, driving referrals and better
adherence to guidelines.
Outcomes: National Rollout of cdmNet
•
Saves time: cdmNet increases productivity by
up to 250%
•
Eliminates paperwork: cdmNet automates all
documentation
•
Simplifies collaboration: cdmNet removes
the overhead of collaboration with other care
providers and the patient
•
Improves safety and quality of care:
cdmNet allows users to deliver best practice care
to their entire chronically ill population
•
Increases net revenues: regular users
increased annual CDM revenues by over $35,000
per GP
•
Reduces risk: cdmNet tracks patient care and
facilitates Medicare compliance
•
Maximises flexibility: cdmNet operates from
solo GP practices to superclinics
 RACGP Oxygen has selected cdmNet to
manage chronically ill patients and is rolling
out to members nationally with the
PrimaryCare Sidebar
 The Commonwealth Digital Regions Initiative
is supporting the national rollout of cdmNet
with the NBN
 cdmNet is linking to Fred Health’s dispensing
systems, eRx, and Cisco telehealth services as
part of the Collaborative Care Cluster
Australia, supported under the Victorian
Science Agenda program
 cdmNet has been selected as a Wave 2
PCEHR site at St Vincent's & Mater Health in
Sydney and Calvary Health Care in the ACT
To find out more information about cdmNet:
Links to reports:
- cdmNet: Broadband Health Network for Transforming Chronic Disease Management. Final Report.
Monash University, Deakin University, Victoria University and Precedence Health Care. 2010
http://precedencehealthcare.com/site/wp-content/uploads/2010/08/CDM-Net-Final-Report-ExecutiveSummary-20100520.pdf
-Why is telemedicine not more widely used? Georgeff M & Hilton J. PulseIT Sept 2011 pp 32-41. (Accessed
on 29th July 2011( http://www.centredcare.com/PulseIT/PulseITSeptember_pp32-41.pdf
Precedence Health Care & cdmNet http://precedencehealthcare.com/cdmnet/
Professor Michael Georgeff
Department of General Practice, Monash University
CEO, Precedence Health Care
Email: [email protected]
Phone: +613 9023 0800
This work is supported by funding from the Australian Government under the Digital Regions
Initiative and by the Victorian Department of Innovation, Industry and Regional Development under
the Victorian Science Agenda program.