title: Testing electronic algorithms to create disease registries in a safety net system.
abstract: Electronic disease registries are a critical feature of the chronic disease management programs that are used to improve the care of individuals with chronic illnesses. These registries have been developed primarily in managed care settings; use in safety net institutions-organizations whose mission is to serve the uninsured and underserved-has not been described. We sought to assess the feasibility of developing disease registries from electronic data in a safety net institution, focusing on hypertension because of its importance in minority populations. We compared diagnoses obtained from algorithms utilizing electronic data, including laboratory and pharmacy records, against diagnoses derived from chart review. We found good concordance between diagnoses identified from electronic data and those identified by chart review, suggesting that registries of patients with chronic diseases can be developed outside the setting of closed panel managed care organizations.
authors.affiliation: University of Colorado at Denver, Health Sciences Center, Denver, CO 80204-4507, USA. Rebecca.Hanratty@dhha.org
authors.forename: Rebecca
authors.initials: R
authors.lastname: Hanratty
authors.forename: Raymond O
authors.initials: RO
authors.lastname: Estacio
authors.forename: L Miriam
authors.initials: LM
authors.lastname: Dickinson
authors.forename: Vijayalaxmi
authors.initials: V
authors.lastname: Chandramouli
authors.forename: John F
authors.initials: JF
authors.lastname: Steiner
authors.forename: Edward P
authors.initials: EP
authors.lastname: Havranek
mesh_terms: D000328:Adult; D000368:Aged; D000465:Algorithms; D002318:Cardiovascular Diseases / Q000453:epidemiology; D003153:Community Health Services / Q000458:organization & administration*; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D008507:Medically Underserved Area; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D012042:Registries; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology