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J Am Med Inform Assoc 14:156-163 doi:10.1197/jamia.M2255
  • Practice of Informatics

Informatics Systems to Promote Improved Care for Chronic Illness: A Literature Review

Table 2

Components in IOM Domains (Ranked by Most Frequent) Used in Information Systems for Chronic Disease Care and Correlation with Positive Quality of Care Outcomes

Heavy use Some use No use Correlation with positive outcome
% % % r p-value
Health Information and Data 44% 29% 27%
 Part of or connect to EMR 10% 28% 77% 0.28 0.05
 Structured outcome measures 33% 67%
Decision Support 42% 25% 33%
 Diagnosis 6% 94%
 Access to guidelines 42% 58% −0.37 0.01
 Computerized prompts 54% 46% 0.2 0.07
Results Management 28% 29% 43%
Communication/connectivity 20% 32% 48%
 E-messaging 28% 72%
 Telemedicine/monitoring 13% 87% 0.18 0.07
 Health information exchange 24% 75%
Population management 28% 18% 54% 0.25 0.06
 Disease management 19% 81%
 Population reports 17% 83% 0.32 0.02
 Public health reporting 5% 95%
 Disease registries 18% 82%
 Audit/feedback 19% 78% 0.31 0.02
Order Entry 29% 14% 57% 0.2 0.07
 Specific components included 11% 21% 69% 0.41 0.02
Patient Support/Portals 19% 13% 68% 0.2 0.07
 Computerized education 10% 90%
 Patient Health Record 12% 88%
 Patient data entry 24% 74%
Administrative Processes 4% 16% 79%
 Electronic scheduling 13% 87% 0.19 0.08
 Identifying patients for research 2% 98%
  • Heavy use of a component was defined as presence of two or more subcomponents; some use defined as inclusion of one subcomponent.

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