title: Development and Implementation of Team-Based Panel Management Tools: Filling the Gap between Patient and Population Information Systems.
abstract: Effective team-based models of care, such as the Patient-Centered Medical Home, require electronic tools to support proactive population management strategies that emphasize care coordination and quality improvement. Despite the spread of electronic health records (EHRs) and vendors marketing population health tools, clinical practices still may lack the ability to have: (1) local control over types of data collected/reports generated, (2) timely data (eg, up-to-date data, not several months old), and accordingly (3) the ability to efficiently monitor and improve patient outcomes. This article describes a quality improvement project at the hospital system level to develop and implement a flexible panel management (PM) tool to improve care of subpopulations of patients (eg, panels of patients with diabetes) by clinical teams. An in-depth case analysis approach is used to explore barriers and facilitators in building a PM registry tool for team-based management needs using standard data elements (eg, laboratory values, pharmacy records) found in EHRs. Also described are factors that may contribute to sustainability; to date the tool has been adapted to 6 disease-focused subpopulations encompassing more than 200,000 patients. Two key lessons emerged from this initiative: (1) though challenging, team-based clinical end users and information technology needed to work together consistently to refine the product, and (2) locally developed population management tools can provide efficient data tracking for frontline clinical teams and leadership. The preliminary work identified critical gaps that were successfully addressed by building local PM registry tools from EHR-derived data and offers lessons learned for others engaged in similar work. (Population Health Management 2016;19:232-239).
authors.affiliation: 1 Department of Medicine, Louis Stokes Cleveland Department of Veterans Affairs Medical Center , Cleveland, Ohio.|2 Case Western Reserve University School of Medicine , Cleveland, Ohio.
authors.forename: Brook
authors.initials: B
authors.lastname: Watts
authors.affiliation: 1 Department of Medicine, Louis Stokes Cleveland Department of Veterans Affairs Medical Center , Cleveland, Ohio.
authors.forename: Renée H
authors.initials: RH
authors.lastname: Lawrence
authors.affiliation: 3 Department of Medicine, University of Minnesota , Minneapolis, Minnesota.
authors.forename: Paul
authors.initials: P
authors.lastname: Drawz
authors.affiliation: 1 Department of Medicine, Louis Stokes Cleveland Department of Veterans Affairs Medical Center , Cleveland, Ohio.
authors.forename: Cameron
authors.initials: C
authors.lastname: Carter
authors.affiliation: 1 Department of Medicine, Louis Stokes Cleveland Department of Veterans Affairs Medical Center , Cleveland, Ohio.
authors.forename: Amy Hirsch
authors.initials: AH
authors.lastname: Shumaker
authors.affiliation: 1 Department of Medicine, Louis Stokes Cleveland Department of Veterans Affairs Medical Center , Cleveland, Ohio.|4 National Jewish Health , Denver, Colorado.
authors.forename: Elizabeth F
authors.initials: EF
authors.lastname: Kern
mesh_terms: D019033:Delivery of Health Care, Integrated; D057286:Electronic Health Records; D006751:Hospital Information Systems; D017146:Models, Organizational; D010348:Patient Care Team; D018802:Patient-Centered Care; D016730:Program Development