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First published April 24, 2008 as JAMIA PrePrint; doi:10.1197/jamia.M2598
Journal of the American Medical Informatics Association 2008
© 2008 American Medical Informatics Association

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Submitted on August 20, 2007
Accepted on April 4, 2008

Lessons From Implementing a Combined Workflow-Informatics System for Diabetes Management

Adrian H. Zai MD, PhD, MPH1*, Richard W. Grant MD, MPH2, Greg Estey MEd1, William T. Lester MD, MS1, Carl T. Andrews MS1, Ronnie Yee MS1, Elizabeth Mort MD, MPH3, and Henry C. Chueh MD, MS1

Affiliation of the authors: 1 Laboratory of Computer Science, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA ; 2 General Medicine Unit, Massachusetts General Hospital, Boston, MA; Clinical Research Program, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA ; 3 Center for Quality and Safety, Massachusetts General Hospital, Boston, MA; Massachusetts General Physicians Organization, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA

* To whom correspondence should be addressed.

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.







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