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, 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.
Gilmet
G P
GP
Blue Care Network of Southeast Michingan, Southfield, USA.
Mallon
R P
RP
Griffin
B T
BT
Lewandowski
J J
JJ
D002984:Clinical Laboratory Information Systems; D016303:Clinical Pharmacy Information Systems; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000188:drug therapy; D019468:Disease Management; D005246:Feedback; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007193:Independent Practice Associations / Q000458:organization & administration / Q000592:standards*; D008297:Male; D008485:Medical Audit / Q000379:methods*; D008498:Medical Record Linkage; D008824:Michigan; D011320:Primary Health Care / Q000592:standards; D018511:Systems Integration