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?