1. Jackie Gianunzio CDEMS Support Specialist Intro to CDEMS

2. CDEMS Highlights Overview Data Entry Reports: using the data Start Up! Support Resources

3. About CDEMS Chronic Disease Electronic Management System Developed by WA Diabetes Prevention & Control Program - 1999 Used by community health centers, primary care practices, rural clinics, hospitals, IPA’s nationwide

4. CDEMS User Map  Ontario, Canada  Haiti  Mayiladuthurai, India  Nigeria, South Africa  Trinidad/Tobago, South Africa 6/2010

5. Flexible & customizable Free! Transition HIT tool Clinic-owned registry; no required reporting Optional electronic lab interface & aggregate reporting modules Features

6. What is CDEMS? A registry focused on chronic disease health care A progress note for planned care A case management tool w/alerts & reminders An evidence-based tool for organized, standard approach to care Population-based reports

7. Chronic Condition Tracks Diabetes Asthma Depression Cardiovascular HIV Cancer Obesity Chronic Pain Adult Preventive Services

8. Informed, Activated Patient Productive Interactions Prepared, Proactive Practice Team Delivery System Design Decision Support Clinical Information Systems Self- Management Support Health System Resources and Policies Community Health Care Organization Improved Outcomes “Part of the Chronic Care Model”

9. Paper-based Progress Note

10. Self-Management Tool

11. Flexible Reporting Measure clinic-wide & provider performance Population-based queries identify who’s overdue or missing treatment Evaluate impact of quality improvement initiatives Document outcomes for reimbursement

12. Technical Specs Microsoft Access database Access versions 97, 2000/2002/2003, 2007/2010 Install on single PC or network Works on Mac w/Windows interface Open source-code

13. Data Entry Program Reports Program Electronic Lab Interface (optional) Program Structure Data file (cdem_dta.mdb) your patient data your CDEMS setup

14. Data Entry Highlights Print Entry Edit

15. Single Data Entry Screen

16. Conditions & Measures Tickler Alert Settings Pick Lists/Validation Rules Progress Note Style & Layout Lab Graphs Registry Customizations

17. Use your registry data! Population-based analysis - identify patients needing care - reports by provider, clinic, clinic group Identify areas for improvement (gaps in care) Measure success of QI efforts Collaborative, state & federal agency, grants reporting Documenation for quality certifications, pay-for- performance reimbursements

18. Types of Reports 1.Progress Note 2.Summary Reports (statistical) 3.Intervention Lists (patient lists) 4.Custom Queries

19. CDEMS Reports 1. Identify report time period 2. Select a clinic 3. Choose a report

20. Sample DM Summary Report

21. Excel graphs from run chart data

22. Sample DM Intervention Report Patients missing foot checks Patients without visit Patients with HbA1c> 7 Patients with HbA1c< 7 Patients with foot checks Patients with current visit

23. Registry Start Up 1.Download CDEMS files at www.cdems.com 2.Set up clinic 3.Customize PCP/ethnicity/insurance dropdown lists, measures, ticklers 4.Enter (import) patient demographics 5.Record patient health information

24. Self-Support Resources www.cdems.com - User Guides - User Forum - Shared Resources e-mail list National CDEMS User Support teleconferences

25. Fee-Based Support Web Training Data Entry & Reports webinars Tech Support On Demand Assistance with start-up, data imports, customizations, special reports/queries, troubleshooting technical issues, lab interfaces, data cleanup Jackie Gianunzio CDEMS Support Specialist jackie@cdems.com ~ 916-817-1401 www.support.cdems.com