Chronic Diseases Center ModelDyslipidemia (TC>200 and/or TG>200 and/or HDL
Transcript of Chronic Diseases Center ModelDyslipidemia (TC>200 and/or TG>200 and/or HDL
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Medical Relief Prevention and Diagnostic
Center of Cardiovascular Diseases/Ramallah
Johny R.Khoury MD
Consultant Cardiologist
Chronic Diseases Center Model
Red Crescent Hall Ramallah December 29, 2014
The Role of HIS in Improving Patient`s Care
PMRS Experience
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Chronic diseases
Diseases that usually do not improve with time.
They can cause premature death, decrease the
quality of life of those who have them, and have
a negative economic impact on their families and on society as a whole.
CVD , Hypertension , Type II Diabetes Mellitus and Dyslipidemia
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Environmental factors that reduce physical activity and
promote overeating
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Tobacco useUnhealthy
diets
Physical
inactivity
Harmful use
of alcohol
Heart disease
and stroke� � � �
Diabetes � � � �
Cancer � � � �
Chronic lung
disease�
What are the major Non-Communicable diseases ?
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CVD`s : major health challenge of the 21st centuryBillions
+ 60%
Of the estimated 57 million global
deaths in 2008,
63% were due to Non-Communicable
Diseases
WHO Global status report on NCD`s / 2010
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The rapidly increasing burden
is in developing countries
� 80 % of NCD deaths occur in low- and middle-income countries EMR, SEAR &AFR
� 29% among people < age of 60 compared to 13% in high income countries
WHO Global status report on non communicable diseases (NCDs) 2010
NCD epidemic is projected to kill 52 million people annually by
2030
Facts
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Slogan
Towards reducing the burden of the Cardiovascular Diseases
and the NCD`s in Palestine
Started July / 2001
Medical Relief Cardiovascular Diseases Center
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9
Cardiologist NurseMedical
Secretary Laboratory
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10
Cardiologist
NurseGeneral
Practitioner
Medical
SecretaryNurse
Cardiologist
12
3
4
5
Pathway Process in the Center
Cardiologist
Diagnostic
Tests
Laboratory
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1- Doing appointments
calling and reminding the clients by phone the previous day for their appt.
from the Electronic Medical
Records
2- Welcoming the clients with smile
3- Entering the data to the Clinical
Information System
4- Arranging
appointments for the next visit
Medical Secretary
Computerized Medical System
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The Computer-Based Electronic Patient Record
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The computer-based patient record
Follow-up
Patient Information
Triage/Reason for visit
Medications
Risk Factors
Lab. Tests
Present History Physical Exam. Diagnosis Visits/ Finance
Consultation Consultation Form
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The computer-based patient record
Patient Information
Name Age Address Visit DateReferring
Physician
Nurse
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The computer-based patient record
Triage
BP Rt. & Lt. arm
PulseHight/Weight
BMI
Reason for visit
Medications
Nurse
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The computer-based patient record
Risk Factors
Smoking Hypertension DyslipidemiaDiabetes Mellitus
Overweight/Obese Inactivity
Family history
Nurse Nurse
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The computer-based patient record
Present History
Physical Exam. Recommendations
ECG, ECHO,ETT, HolterMonitor , Lab, Tests
Diagnosis
CHD,CHF, Valvular, RF.DM,Dlp,HTN,COPD
Medications
Cardiologist Cardiologist
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The computer-based patient record
Medical Secretary
Health Education
Laboratory
Tests Medications and
Doses
Finance Next Office Visit
Nurse
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The Role of :Health Information System in improving Patient`s Care?
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Health Information System
Input Health Data
Stored
Retrieved and
processed
OutputDecision making
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Health Information System
The Computer-Based Electronic Patient Record
� Making health research available
� Doing relevant health research
� Publishing research
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The Computer-Based Electronic Patient Record
Prevalence of Risk Factors
Risk Factors Prevalence%
Overweight (BMI > 25 and < 30) 71
Obesity (BMI> 30) 43
Hypertension ( BP ≥140/90 mmHg or
use of anti-HTN medication) 31
Diabetes Mellitus (FBS > 126 mg/dl) 12
IFG Glucose level (FBS 111 to 125 mg/dl )6
Dyslipidemia (TC>200 and/or
TG>200 and/or HDL<40 mg/dl) 43
The First Palestinian Non-Communicable Disease Congress Ramallah April/2012
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Prevalence of Hypertension / Age Group
35
55.4
9
0.6
0
10
20
30
40
50
60
>65 40-65 20-39 من 19-10
النسبة المئوية
>65
40-65
20-39
من 19-10
Prevalence of Hypertension %
Age Group
The Computer-Based Electronic Patient RecordPrevalence of Risk Factors
The First Palestinian Non-Communicable Disease Congress Ramallah April/2012
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Improve efficiency and quality of care
Improving health outcome
Access to information in real time
Reduction of errors
Clinical decision making
The Benefits of The Electronic Medical Records
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Targ
et
Go
al
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But .. Don’t forget the patient
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Best wishes 2015Best wishes 2015