Tamara Poljičanin, MD, PhD Croatian Institute of Public Health CHRODIS PLUS Croatian pilot Tamara Poljičanin, MD, PhD Croatian Institute of Public Health Zagreb, 26th-27th March 2019

Problem Description 304.408 diabetic persons 2300 general practitioners 7 diabetes centres not all the patients with diabetes are being treated equally, by the same clinical standards and led through clinical pathways providing similar outcomes

Available knowledge There is strong evidence that well established electronic patient registries improve quality indicators of diabetes control at population level. Ref - Harris MF. et al 2002, Bu D. et al 2007, Han W. et al 2016, Shojania KG. et al in 2008, Peterson A. et al in 2014, Burry E. et al in 2018

MDS - minimum data set Croatian diabetes registry (CroDiab) & „diabetes panel“ (to some extent aligned with international minimum common data set, but not completely) non-consistent quality (coverage, reliability, accuracy, transparency, timeliness and relevance) MDS should be collected at least once a year and therefore can serve as a primary data source for diabetes registry.

Specific aims & strategic actions improvement of collaborative use of MDS and diabetes registry promotion of diabetes control check-list use align MDS of diabetes panel, clearly define institutional responsibilities and mandates regarding eHealth and health information systems in Croatia - decision making level (MoH) improve awareness of patients with diabetes on their potential benefits from CroDiab, and how participate within health care system organisation in order to improve health outcomes improve awareness of GPs on potential benefits from MDS and CroDiab improve the representation of diabetes clinical field within continuous education of health professionals - Croatian medical chamber improve the quality of the feedback to data sources (GPs) in order to maintain data quality improving the MDS tool that will allow better insight in patients’ health history and monitoring results strategic actions - improvement Areas (strategic actions) selected in order to overcome identified Weaknesses and Threats Kako mjeriti awareness GP-a i pacijenata

Study description GROUP 1 GROUP 2 GROUP 3 analysis of indicators (HbA1C, lipids, albumin/creatinine ratio, systolic and diastolic blood pressure and fundoscopic examination) 5 urban and 5 rural-area teams analysis of indicators (after 6 months) interview education on project and MDS/registry and feedback on their MDS performance letter with information about project and their monitoring no information

Improvement areas Improvement areas Priority score (1-3) Ranking At decision making level align MDS with international standards and mutually between systems and clearly define institutional responsibilities and mandates regarding eHealth and health information systems in Croatia. 1 Improve the quality of the feedback to data sources GPs in order to maintain data quality. 2 Improving awareness of GPs on potential benefits from MDS and CroDiab, i.e. try to raise awareness of the importance of standardised clinical practice and health information systems 3 Improving awareness of patients with diabetes on their potential benefits from CroDiab and how to participate within health care system organisation in order to improve their health outcomes. 4 Improving the MDS tool that will allow better insight in patients’ health history and monitoring results 5 Through Croatian medical chamber improve the representation of diabetes clinical field within continuous education of health professionals 6

HVALA