Registry: Overview
The driving vision behind the Diabetes Registry was to improve the overall care of patients with diabetes by instituting a point-of-care procedure that would mitigate chronic diabetes conditions, and measure the quality of diabetes healthcare practices by tracking online registry data trends over time. From early surveys and interviews, it was clear that there was a need for both a paper point-of-care tool, as well as the electronic point-of-care tool. Many provider offices remained dependent on a paper-driven filing system, and therefore, were less equipped to manage the patient encounter with the online point-of-care tool that directly interfaced to the electronic back end database. The paper point-of-care tool was to be used as an intermediary step, bridging the paper file driven care management to electronic registry database.
The primary users of the CCCN Diabetes Registry system were provider office staff, physicians, registered nurses, nurse practitioners, and physicians assistants. The patient visit involved three phases: a) the pre-visit phase, b) the provider-to-patient phase, and c) the post-visit phase, where the patient has left the provider’s office and the patient information would be entered into the electronic based system. The actual physician encounter with the patient called for the need of a paper point-of-care tool, which was one of the tools developed by the CCCN project.
A basic workflow was defined and the user interface was designed on the following comprehensive workflow:
- Retrieve patient’s paper file from archive and make it ready for the patient's scheduled office visit,
- Look-up and print out patient visit worksheet to make ready for provider-to-patient visit using the
electronic point-of-care tool, - User paper point-of-care tool during provider-to-patient office visit,
- Input patient visit data into registry database using the electronic point-of-care tool,
- File patient visit worksheet in paper file and archive.
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