Summary PresentationDuke/UNC Health Informatics Seminar Series
Eddie Alcorn
April 26, 2013
My background
Applications in my field
Recommendations
Agenda
Background
Former high school teacher
Graduating MSPH/MBA candidate
Finance director for student-run free clinic
Future strategy consultant at UNC Health Care
SHAC Health Fair, April 14, 2012
Regional extension centers help with the implementation of the EHR and the clinic process flow
Focus on project implementation
These changes result in a “data coma” period where minimal improvement is made towards objectives.
Learning curve
Improvement in diabetes management at Roanoke Chowan CHC through concerted efforts
Target efforts on patients who are out of range
EHRs and Quality Improvement -Dr. Sam Cykert
1. Measurement
1. chart reviews (subsample)
2. certified EHR and “meaningful use” (automate)
2. Algorithms for medication intensification (who executes?)
3. Electronic templates with point of care reminders
4. Drill down lists (can’t do with paper charts) and plan for out-of-range patients
5. Self management training / Motivational Interviewing
Improvement in Diabetes Management at Roanoke Chowan
Daily Disease Reporting: School-based health clinic information transmitted to pediatric provider data systems
Interoperability issues
WIC Program Education: Use of an avatar greatly increases participant engagement
Effective presentation of information
Health Information Portal: Mapping geographic variation of multi-morbidity and ED utilization in Medicaid patients in NC
Focus on the areas with matching intensity
NC Community Health Information Portal – Dr. John Graham
Multi-Morbidity vs. ED Utiltization
Multiple Morbidities in Medicaid Recipients
ED Utiltization per Medicaid Recipient
Obesity prevalence correlated with preponderance of fast food restaurants
Non-communicable diseases are quickly replacing infectious diseases and malnutrition as the leading cause of death in developing countries
Health priorities are not always immediately apparent
High cell phone usage by providers and patients offers opportunities to skip steps in development
Spread innovation throughout health care system
Planning for mHealth in a Low Income Country – Challenges in Guatemala
Dr. Patricia Abbott
Questions?