Speaker: Brent Egan, MD, Professor of Medicine at the University of South Carolina School of Medicine, Greenville and serves as the Medical Director for the Care Coordination Institute
Date: July 14, 2014, 4pm ET, 3pm CT
Listen to the presentation here. (23 minutes)
Objectives of the Presentation:
- Describe development of an EHR registry.
- Identify key partners that need to be involved with developing an EHR registry.
- Describe ways that EHRs have been and can be used to inform population-based interventions.
Main points to be covered:
- Current use of an EHR data registry in South Carolina.
- Discuss the realistic expectations for use of EHRs in hypertension control at this point in time.
- What actions or collaborations can state public health agencies engage in with health care providers on the use of EHRs.
Main points presented:
- Brief history of OQIUN, CCI - Began 1999 using data cards. Started working with multiple practice sites using different EHRS in 2003; currently >350 clinical sites using >25 EHRS. Relationships are critical to success!
- Registry function - NCQA Heart Disease / Stroke Prevention Recognition program reporting with 5 indicators (BP control [75%], Lipid panel [80%], Cholesterol (LDL) control [50%], aspirin or another antithrombotic [80%], smoking status / cessation advice or Rx [80%]. Score for each physician, composite for each clinic, comparison to all other providers / clinics in database.
- Population management tool (all patients for each provider left vertical) - 5 indicators across the top and sortable columns.
Main take-away points:
- Whenever possible use the EHRS as designed and maximize consistent use of discrete and structured field data.
- Standardize data entry across the clinic and practice group.
- Implement a BP measurement protocol that aims to obtain an accurate and representative BP in a discrete / structured field.
- Make sure the medication list is accurate.
- Incorporate labs into structured fields of the EHRS.
- Agree on a BP treatment protocol that will work for most patients and adhere to it.
- Maintain a hypertension registry with at least monthly updates and accountability.
- To maximize benefit, use the ABCS of CVD prevention with actionable, POC information and support.