title: Use of medical informatics for management of multiple sclerosis using a chronic-care model.
abstract: The mission of the Multiple Sclerosis Centers of Excellence (MSCoEs) is to optimize the services veterans with multiple sclerosis (MS) receive across the U.S. Veterans Health Administration. To accomplish this mission, the MSCoE West has adopted a collaborative chronic-disease management strategy along the lines of the model described by Wagner and colleagues. This model describes an organized, integrated, proactive, and population-based approach to patient care that includes healthcare delivery system change and patient-based self-management. While Wagner's model is described independent of information technology, the majority of actions called for in that model benefit tremendously from the application of a powerful and well-integrated informatics infrastructure designed to serve and support populations with chronic disease. Key elements such as goals and actions encourage high-quality care for those with chronic illnesses.
authors.affiliation: Multiple Sclerosis Center of Excellence West, Veterans Health Administration, Seattle, WA, USA. mail@hatzakis.net
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Hatzakis
authors.forename: Craig
authors.initials: C
authors.lastname: Allen
authors.forename: Mark
authors.initials: M
authors.lastname: Haselkorn
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Anderson
authors.forename: Paul
authors.initials: P
authors.lastname: Nichol
authors.forename: Charles
authors.initials: C
authors.lastname: Lai
authors.forename: Jodie K
authors.initials: JK
authors.lastname: Haselkorn
mesh_terms: D002908:Chronic Disease; D016208:Databases, Factual; D019468:Disease Management; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008490:Medical Informatics; D017146:Models, Organizational; D009103:Multiple Sclerosis / Q000175:diagnosis / Q000628:therapy*; D010347:Patient Care Planning / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D017749:Total Quality Management; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration*