Clinical Information Systems & Decision Support

Examples of gaps and weaknesses in our current acute care system

Only 34% of office-based practices have Electronic Health Record (EHR) systems.

Medical records are often difficult to transfer between different providers and remain fragmented and scattered.

Clinicians often rely on memory or inefficient paper records to make treatment decisions; Americans receive evidence-based care for chronic illnesses only about 55% of the time.

 

 

 

Examples of implementations of the chronic care model
(these are illustrations and not necessarily prescriptions or endorsements)

All care delivery sites have EHRs with patient registry functions and decision support systems with reminders built in.

Patient records are portable and secure; a complete, integrated record can follow the patient across different doctors, hospitals and insurance carriers.

Evidence-based guidelines are integrated into daily practice through reminder systems.

Sources:

Ed Wagner, et al. "Improving Chronic Illness Care: Translating Evidence into Action." Health Affairs Volume 20:6. Nov/Dec 2001.

Thomas Bodenheimer, Ed Wagner and Kevin Grumbach. "Improving Primary Care for Patients with Chronic Illness." Journal of the American Medical Association Vol 288:14. October 9, 2002.

Thomas Bodenheimer, Ed Wagner and Kevin Grumbach. "Improving Primary Care for Patients with Chronic Illness: The Chronic Care Model, Part 2." Journal of the American Medical Association Vol 288:15. October 16, 2002.