title: Diabetes decision support: initial experience with the Vermont diabetes information system.
abstract: Interventions that have proven effective in the management of chronic illness have often been difficult to establish in widespread practice. The Chronic Care Model provides a framework for implementing interventions, but it is expensive and difficult to implement. We developed a decision support system based on this model to improve the care of adults who have diabetes and receive primary care in Vermont or adjacent New York. The Vermont Diabetes Information System uses a network of community laboratories for providing data to produce flowsheets, reminders, action alerts, and population reports that are sent to primary care providers by fax and to patients by mail. Currently, 7295 patients are cared for by 124 primary care providers in 62 practices and are enrolled in a randomized controlled trial to study its effects.
authors.affiliation: Division of General Internal Medicine, University of Vermont College of Medicine, Burlington, VT 05401, USA. charles.maclean@vtmednet.org
authors.forename: Charles D
authors.initials: CD
authors.lastname: MacLean
authors.forename: Benjamin
authors.initials: B
authors.lastname: Littenberg
authors.forename: Michael
authors.initials: M
authors.lastname: Gagnon
mesh_terms: D000419:Albuminuria / Q000175:diagnosis; D003404:Creatinine / Q000097:blood; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D003920:Diabetes Mellitus / Q000628:therapy*; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008055:Lipids / Q000097:blood; D009518:New York; D010347:Patient Care Planning / Q000458:organization & administration*; D014707:Vermont
chemical_list: D003404:Creatinine; D006442:Glycated Hemoglobin; D008055:Lipids