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JAMIA 2008;15:524-533 doi:10.1197/jamia.M2598
  • The Practice of Informatics
  • Application of Information Technology

Lessons from Implementing a Combined Workflow–Informatics System for Diabetes Management

  1. Adrian H Zaia,f,
  2. Richard W Grantb,c,f,
  3. Greg Esteya,
  4. William T Lestera,f,
  5. Carl T Andrewsa,f,
  6. Ronnie Yeea,f,
  7. Elizabeth Mortd,e,f,
  8. Henry C Chueha,f
  1. aLaboratory of Computer Science, Boston, MA
  2. bGeneral Medicine Unit, Boston, MA
  3. cClinical Research Program, Boston, MA
  4. dCenter for Quality and Safety, Boston, MA
  5. eMassachusetts General Physicians Organization, Massachusetts General Hospital, Boston, MA
  6. fHarvard Medical School, Boston, MA
  1. Correspondence: Dr. Adrian H. Zai, Laboratory of Computer Science, Massachusetts General Hospital, 50 Staniford Street, Boston, MA 02114; email: >azai{at}partners.org>
  • Received 20 August 2007
  • Accepted 4 April 2008

Abstract

Shortcomings surrounding the care of patients with diabetes have been attributed largely to a fragmented, disorganized, and duplicative health care system that focuses more on acute conditions and complications than on managing chronic disease. To address these shortcomings, we developed a diabetes registry population management application to change the way our staff manages patients with diabetes. Use of this new application has helped us coordinate the responsibilities for intervening and monitoring patients in the registry among different users. Our experiences using this combined workflow-informatics intervention system suggest that integrating a chronic disease registry into clinical workflow for the treatment of chronic conditions creates a useful and efficient tool for managing disease.

Footnotes

  • Portions of this work have been presented in abstract form at the following conferences: American Medical Informatics Association Spring Congress in Phoenix, Arizona, May 2006 (Poster), Diabetes Technology Society Conference in Atlanta, George, November 2006 (Poster), American Medical Informatics Association Conference in Chicago, Illinois, November 2007 (Poster).

  • Supported by the National Institutes of Health, National Library of Medicine (2T15LM007092-16).

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