Something to think about, does your MD have a way of monitoring items for "check up"? A registry item in an EMR will not only help MDs keep on top of monitoring patients for chronic care, but can also help with reports in determining other statistics as far as general demographics information, percentage of diabetic patients, patients receiving selected care with selected medications, etc. Registry modules come in various shapes. sizes and formats and can also be very helpful with researching data for P4P issues that would take a huge amount of time to research by going through high piles of patient charts manually. BD
Special notes in electronic records for her patients with diabetes remind office workers to ask the patients to remove their shoes and socks before they meet with the doctor.
The bare feet are a gentle reminder to Marin to perform a foot examination, an important procedure for diabetics who often suffer from foot ailments that can lead to more serious conditions or even to amputations.
“In a busy day, you're seeing 29 patients,” said Marin, 48, who co-owns Metro Family Physicians Medical Group. “If (a diabetic patient's) shoes are off, you're going to do the exam. If they're not, you will probably delay it until the next visit.” About 80 percent of Marin's diabetic patients now receive foot exams when they visit her office in the Kearny Mesa area of San Diego – more than double the previous rate.
Among other things, the sessions taught Marin how to set up an electronic registry of her 400 diabetic patients to identify them from among her other 3,000 patients.
With the registry, Marin and her staff can periodically print lists of diabetic patients who are due for exams and tests crucial to keeping them healthy and preventing problems, such as blindness and foot infections, that can be brought on by the chronic disease.
“It really helps me manage these patients much, much better,” she said.
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