Kirley Kate, Khan Tamkeen, Aquino Gina, Brown Ameldia, Meier Scott, Chambers Nadene, O'Connell Christopher
Improving Health Outcomes, American Medical Association, Chicago, Illinois, USA.
Henry Ford Health System, Detroit, Michigan, USA.
JAMIA Open. 2021 Nov 30;4(4):ooab101. doi: 10.1093/jamiaopen/ooab101. eCollection 2021 Oct.
The objective of this study was to determine if certified electronic health record technology (CEHRT) can be used to identify and refer patients with prediabetes to lifestyle change programs (LCPs) recognized by the National Diabetes Prevention Program (DPP). This pilot utilized a prediabetes registry, patient portal, and clinical decision support to increase referrals. Data from 36 primary care providers showed 4930 patients were eligible for DPP LCP, 293 referrals were generated, compared to 20 referrals in the baseline period, and 116 patients enrolled. Referral to enrollment conversion rates were 41% in the study period and 69% in the post-study 1-year period. CEHRT functionalities can support systematic identification and management of prediabetes. The referral rate increased 7-fold compared to the baseline period, with high referral to enrollment conversion rates. CEHRT coupled with active provider engagement can serve as a tool to identify prediabetes patients and facilitate LCP referrals and enrollment.
本研究的目的是确定认证电子健康记录技术（CEHRT）是否可用于识别患有糖尿病前期的患者，并将其转介至由国家糖尿病预防计划（DPP）认可的生活方式改变计划（LCP）。该试点项目利用糖尿病前期登记系统、患者门户和临床决策支持来增加转介。来自36名初级保健提供者的数据显示，4930名患者符合DPP LCP的条件，产生了293次转介，而基线期为20次转介，并有116名患者登记入组。在研究期间，转介至登记入组的转化率为41%，在研究后的1年期间为69%。CEHRT功能可以支持对糖尿病前期的系统识别和管理。与基线期相比，转介率提高了7倍，转介至登记入组的转化率很高。CEHRT与提供者的积极参与相结合，可以作为一种工具来识别糖尿病前期患者，并促进LCP的转介和登记入组。
