Toolbox

Computer Registries

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1. Chronic Disease Electronic Management System (CDEMS)
   www.cdems.com
   The CDEMS is a registry program for better management of chronic health conditions developed by the Washington Department of Health with funding by the Centers for Disease Control and Prevention. As public domain software, users may freely make changes to the program. CDEMS is pre-coded to track diabetes and adult preventive health but is customizable to change those tracking measures or define measures for monitoring other chronic conditions. Printed progress notes, patient lists, and summary reports generated from the registry database can alter the way services are delivered and measure quality improvement efforts.
    
2. Comparison of Registry Products
   Chronic Disease Registries: A Product Review from the California Health Care Foundation (CHCF), 2004.
    
   For the report on computerized disease registries visit:
   www.chcf.org/documents/chronicdisease/ChronicDiseaseRegistryReview.pdf
    
   For a report that compares a number of registries on various levels of functionality, use, and cost, visit: www.chcf.org/topics/chronicdisease/index.cfm?itemID=21718
    
3. Institute for Healthcare Improvement
   www.ihi.org/IHI/Topics/ChronicConditions/Asthma/
   Changes/ClinicalInformationSystem.htm
   This website provides information about how to establish and use a registry.
    
4. WorldVistA
   www.worldvista.org
   WorldVistA provides open source electronic health record and health information system based on and compatible with the U.S. Department of Veterans Affairs (VA) VistA®. WorldVistA helps those who choose the VistA® system to successfully master, install, and maintain the software for their own use.
   
   This product meets a set of criteria for functionality (ability to create and manage electronic records for all patients, as well as automating workflow in a physician's office), interoperability (a first step in the ability to receive and send electronic data to other entities such as laboratories), and security (ability to keep patients' information safe).
   
   Features include:
    
   • Core VistA functions such as:
     • patient registration
     • clinical reminders for chronic disease management
     • clinical order entry
     • progress note templates
     • results reporting
   • Functionality tailored to meet the needs of clinics and physician offices, such as:
     • ability to interface to existing practice management / billing systems, lab services and other applications
     • scanning and inclusion of scanned documents into the medical record
     • prescription finishing and faxing
     • clinical quality measure reporting capabilities
     • support for disease management, using clinical reminders
     • templates for obstetrics/gynecology (OB/GYN) and pediatrics care
        
5. The Medem Network: Connecting Physicians and Patients
   www.medem.com
   Founded by seven major medical societies, including American Medical Association, American Academy of Pediatrics, and American College of OB/GYN, Medem has established a physician-patient communications network, to facilitate online access to information and care for more than 100,000 physicians, their practices, and their patients. Physicians can communicate with their patients, answer questions, and renew prescriptions. Patients can maintain their own health record and sign up for education programs, including type 2 diabetes, and receive automated health information through secure email. Medem has around 50 partners that can be viewed at www.medem.com/am/am_societies.cfm.
    
6. Resource and Patient Management System (RPMS) from the Indian Health Service
   www.ihs.gov/Cio/RPMS/index.cfm?module=home&option=index
   RPMS is an integrated solution for the management of clinical and administrative information in health care facilities of various sizes and orientations. Flexible hardware configurations, over 50 software applications, and network communication components combine to provide a comprehensive clinical, financial, and administrative solution.
   

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