This is a sermonette on what can be accomplished absent EHRs and an HIE when there is a a strong leader in a leadable community.
In It Takes A Region CD-Rom: Improving Chronic Illness Care the Robert Wood Johnson foundation proselytizes work it sponsored on regional approaches to managing chronic disease by the Wagner model. I reside in Humboldt County, one of the two rural counties that comprise the region in the title. Indeed, I am proud to say that the strong leader featured in the CD-ROM is my own physician, Dr. Alan Glaseroff.
With nary an EHR in site the Humboldt Diabetes Project has brought down the A1Cs of at-risk diabetics, more than doubled follow-up on and achieved these improvements in the SP-12 scores of diabetics in the study.
The only Health IT enabler has been a Web-based community version of the open-source Chronic Disease Electronic Management System (CDEMS) registry. Physicians that started using it for diabetic care have extended their interest to other diseases.
In part, it has been seeing the work here that has directed my interest to interconnecting the community of physicians that have EHRs and the rest of the healthcare world. I actively support the roll out of EHRs and the full-bore, carefully managed exchange and look up of patient information through HIEs. At the same time the success of Alan and this community makes it clear that IT-enabled progress does not need to wait and it will be necessary to support the interface between the two communities for many years.
Read Complimentary Relevant Research
Predicts 2017: Artificial Intelligence
Artificial intelligence is changing the way in which organizations innovate and communicate their processes, products and services. Practical...
View Relevant Webinars
The Education CIO Challenge: IT Is a Team Sport
This video will outline key Education CIO challenges and recommendations based on business and technology trends in education as well...
Comments or opinions expressed on this blog are those of the individual contributors only, and do not necessarily represent the views of Gartner, Inc. or its management. Readers may copy and redistribute blog postings on other blogs, or otherwise for private, non-commercial or journalistic purposes, with attribution to Gartner. This content may not be used for any other purposes in any other formats or media. The content on this blog is provided on an "as-is" basis. Gartner shall not be liable for any damages whatsoever arising out of the content or use of this blog.