The use of an integrated clinical laboratory and pharmacy diabetes database to provide physician performance feedback in an IPA-model HMO

The ability to link pharmacy claims and clinical laboratory result databases in a managed care setting holds great promise as an outcomes management tool. The authors have created a powerful disease management capability that generates dynamic, disease-specific reports containing actionable, provide...

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Bibliographic Details
Published inThe Journal of ambulatory care management Vol. 21; no. 1; p. 12
Main Authors Gilmet, G P, Mallon, R P, Griffin, B T, Lewandowski, J J
Format Journal Article
LanguageEnglish
Published United States 01.01.1998
Subjects
Clinical Laboratory Information Systems
Clinical Pharmacy Information Systems
Diabetes Mellitus - diagnosis
Diabetes Mellitus - drug therapy
Disease Management
Feedback
Female
Guideline Adherence
Humans
Independent Practice Associations - organization & administration
Independent Practice Associations - standards
Male
Medical Audit - methods
Medical Record Linkage
Michigan
Primary Health Care - standards
Systems Integration
Michigan
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Summary:The ability to link pharmacy claims and clinical laboratory result databases in a managed care setting holds great promise as an outcomes management tool. The authors have created a powerful disease management capability that generates dynamic, disease-specific reports containing actionable, provider-patient-level laboratory and pharmacy information. This system is used to send reports to primary care physicians in an independent practice association (IPA)-model managed care setting to improve the care of patients with diabetes mellitus. This systematic feedback methodology can augment physician decision-making behavior, promote compliance with national guidelines, and measure improvement in plan-level, population-based outcomes over time.
ISSN:0148-9917
DOI:10.1097/00004479-199801000-00003