Using Electronic Clinical Decision Support in Patient-Centered Medical Homes to Improve Management of Diabetes in Primary Care: The DECIDE Study. Issue 2 (April 2019)

• Record Type: Journal Article
• Authors: Gill, James; Kucharski, Kathrin; Turk, Barbara; Pan, Chunshen; Wei, Wenhui
• Is Part Of: Journal of ambulatory care management. Volume 42:Issue 2(2019)
• Publication Date: 2019-04
• Subjects: clinical decision support -- diabetes care -- electronic medical record -- patient-centered medical home -- real-world study; Ambulatory medical care -- Administration -- Periodicals; Ambulatory medical care -- United States -- Administration -- Periodicals; Community health services -- Administration -- Periodicals; Community health services -- United States -- Administration -- Periodicals; Health planning -- Periodicals; Health planning -- United States -- Periodicals; 362.12
• DOI: 10.1097/JAC.0000000000000267
• Languages: English
• ISSNs: 0148-9917

Abstract

Abstract : This prospective, randomized, real-world study aimed to examine the impact of electronic health record–based clinical decision support (CDS) tools on the management of diabetes in small- to medium-sized primary care practices participating in Delaware's patient-centered medical home project. Overall, use of CDS systems was associated with greater reductions from baseline in hemoglobin A1c and low-density lipoprotein cholesterol, and more patients achieving treatment goals. Physicians and staff reported that the CDS toolkit empowered them to be more involved in clinical decision-making, thereby helping to improve diabetes care. However, all cited significant barriers to fully implementing team-based CDS, predominantly involving time and reimbursement. Abstract : Supplemental Digital Content is Available in the Text.