Jackie Gianunzio

CDEMS Support Specialist

Intro to CDEMS

CDEMS Highlights

• Overview

• Data Entry

• Reports: using the data

• Start Up!

• Support Resources

About CDEMS

• Chronic Disease Electronic Management System

• Developed by WA Diabetes Prevention & Control Program - 1999

• Used by community health centers, primary care practices, rural clinics, hospitals, IPA’s nationwide

CDEMS User Map

Ontario, Canada Haiti Mayiladuthurai, India Nigeria, South Africa Trinidad/Tobago, South Africa

6/2010

• Flexible & customizable

• Free!

• Transition HIT tool

• Clinic-owned registry; no required reporting

• Optional electronic lab interface & aggregate reporting modules

Features

What is CDEMS?

• A registry focused on chronic disease health care

• A progress note for planned care

• A case management tool w/alerts & reminders

• An evidence-based tool for organized, standard approach to care

• Population-based reports

Chronic Condition Tracks

• Diabetes• Asthma• Depression• Cardiovascular• HIV• Cancer• Obesity• Chronic Pain• Adult Preventive Services

Informed,ActivatedPatient

ProductiveInteractions

Prepared,ProactivePractice Team

DeliverySystemDesign

DecisionSupport

ClinicalInformation

Systems

Self-Management

Support

Health System

Resources and Policies

Community

Health Care Organization

Improved Outcomes

“Part of the Chronic Care Model”

Paper-based Progress Note

Self-Management Tool

Flexible Reporting• Measure clinic-wide & provider

performance

• Population-based queries identify who’s overdue or missing treatment

• Evaluate impact of quality improvement initiatives

• Document outcomes for reimbursement

Technical Specs

• Microsoft Access databaseAccess versions 97, 2000/2002/2003, 2007/2010

• Install on single PC or network

• Works on Mac w/Windows interface

• Open source-code

Data Entry Program

Reports Program

Electronic Lab Interface

(optional)

Program Structure

Data file(cdem_dta.mdb)

• your patient data

• your CDEMS setup

Data Entry Highlights

• Print

• Entry

• Edit

Single Data Entry Screen

• Conditions & Measures

• Tickler Alert Settings

• Pick Lists/Validation Rules

• Progress Note Style & Layout

• Lab Graphs

Registry Customizations

Use your registry data!

• Population-based analysis- identify patients needing care - reports by provider, clinic, clinic group

• Identify areas for improvement (gaps in care)• Measure success of QI efforts• Collaborative, state & federal agency, grants

reporting• Documenation for quality certifications, pay-for-

performance reimbursements

Types of Reports

1. Progress Note

2. Summary Reports (statistical)

3. Intervention Lists (patient lists)

4. Custom Queries

CDEMS Reports

1. Identify reporttime period2. Select a clinic

3. Choose a report

Sample DM Summary Report

Excel graphs from run chart data

Sample DM Intervention Report

Patients missing

foot checks

Patients without

visit

Patients with

HbA1c>7

Patients with

HbA1c< 7

Patients with foot checks

Patients with

current visit

Registry Start Up

1. Download CDEMS files at www.cdems.com

2. Set up clinic

3. Customize PCP/ethnicity/insurance dropdown lists, measures, ticklers

4. Enter (import) patient demographics

5. Record patient health information

Self-Support Resources

• www.cdems.com- User Guides- User Forum- Shared Resources

• e-mail list

• National CDEMS User Support teleconferences

Fee-Based Support

• Web TrainingData Entry & Reports webinars

• Tech Support On DemandAssistance with start-up, data imports, customizations, special reports/queries, troubleshooting technical issues, lab interfaces, data cleanup

• Jackie GianunzioCDEMS Support Specialistjackie@cdems.com ~ 916-817-1401www.support.cdems.com