Thu, 21 Aug 2008 07:14:50 BST CiteULike: waffle168s Bates http://www.citeulike.org/user/waffle168/author/Bates CiteULike.org en-gb Copyright © 2004-2008 citeulike.org http://www.citeulike.org/user/waffle168/article/1550515 <i>Dis Manag, Vol. 10, No. 3. (June 2007), pp. 115-128.</i><br /><br />As a result of the high cost of diabetes, an array of interventions for managing this disease has been developed. Estimating the cost of various approaches to diabetes disease management is critical to inform purchasing decisions. This review focuses on 5 provider- and payer-sponsored diabetes management approaches that use information technology (IT) and provides cost estimates for each approach based on a literature review and interviews with 38 provider practices, hospitals, payers, and vendors. Cost estimates are reported for "typical" small, medium, and large provider practices and payers. Provider-sponsored diabetes registries are estimated to be the least expensive approach for small and medium sized practices. For large practices with electronic health record systems, modifying such systems with diabetes-specific clinical decision support capabilities is projected to be the most economical approach. While limited data prevented the inclusion of all implementation costs, these projections serve as a starting point to inform the purchasing decisions of organizations planning to introduce IT-enabled diabetes management. The cost of information technology-enabled diabetes management. J Adler-Milstein D Bu E Pan J Walker D Kendrick JM Hook DW Bates B Middleton doi:10.1089/dis.2007.103640 Dis Manag, Vol. 10, No. 3. (June 2007), pp. 115-128. 2007-08-09T18:57:44-00:00 2007 Dis Manag 1093-507X 10 3 115 128 cost diabetes http://www.citeulike.org/user/waffle168/article/789067 <i>J Biomed Inform, Vol. 36, No. 1-2. (r 2003), pp. 80-91.</i><br /><br />Prior research has demonstrated that clinicians often fail to review and act upon outpatient test results in a timely and appropriate manner. To address this patient safety and quality of care issue, Partners Healthcare has developed a browser-based, provider-centric, comprehensive results management application to help clinic physicians review and act upon test results in a safe, reliable, and efficient manner. The application, called the Results Manager, incorporates extensive decision support features to classify the degree of abnormality for each result, presents guidelines to help clinicians manage abnormal results, allows clinicians to generate result letters to patients with predefined, context-sensitive templates and prompts physicians to set reminders for future testing. In this paper, we outline the design process and functionality of Results Manager. We also discuss its underlying architectural design, which revolves around a clinical event monitor and a rules engine, and the methodological challenges encountered in designing this application. Design and implementation of a comprehensive outpatient Results Manager. EG Poon SJ Wang TK Gandhi DW Bates GJ Kuperman J Biomed Inform, Vol. 36, No. 1-2. (r 2003), pp. 80-91. 2006-08-07T18:57:53-00:00 2003 J Biomed Inform 1532-0464 36 1-2 80 91 design implementation informatics poon