The BLUES Project: Improving Diabetes Outcomes in Mississippi with Health IT

三角洲健康联盟(DHA)建议在以下地点展示糖尿病管理实践的效果 密西西比州的几家门诊诊所利用精心设计的全面健康 信息技术。拟议研究的时机与独立的实施计划相吻合 电子健康记录；因此，存在一个宝贵的机会来比较类似的做法 医疗保健提供者及其患者在使用和不使用综合 卫生信息技术系统。 糖尿病在美国的患病率和发病率正在达到流行的程度，这一点尤其 这在密西西比州是真的。在过去的五年里，DHA一直在赞助三角洲糖尿病项目(DDP)，这是一个 区域临床站点网络，采用多学科慢性护理模式，遵循 美国糖尿病协会对糖尿病患者的医疗护理标准。DDP提供商包括 照顾大约5,000名患者，其中大部分是非洲裔美国人，贫困，和 他们通常没有足够的机会获得医疗服务。 拟议的Blues项目(Blues是利用电子系统改善生活的首字母缩写)，是 旨在确定在糖尿病管理中使用健康信息技术是否将增强 医疗保健和改善患者的健康结果。四家糖尿病管理诊所雇用了 同样的糖尿病护理模式将参与这项研究：两个位于城市环境中(其中一个将 两个在农村地区(其中一个将利用卫生信息技术系统)。这个 拟议的研究包括三个具体目标：(1)成功实施电子健康记录(EHR) 现有的两个糖尿病管理诊所的系统，重点是将EHR整合到临床医生中 工作流程；(2)评估电子健康记录系统对临床护理过程和患者结果的影响；以及 (3)根据总结的经验教训和评估结果，制作并分发可推广、可复制的 为糖尿病管理护理实施综合健康信息技术系统的护理模式 美国

The Delta Health Alliance (DHA) proposes to demonstrate the effects of diabetes management practices at several ambulatory clinics throughout Mississippi when utilizing well-designed, comprehensive health information technology. The timing of the proposed study coincides with independent plans to implement electronic health records at these sites; hence, an invaluable opportunity exists to compare similar practices of healthcare providers and health outcomes of their patients with and without utilization of a comprehensive health information technology system. The prevalence and incidence of diabetes in the U.S. are reaching epidemic proportions, and this is especially true in Mississippi. Over the past five years, the DHA has been sponsoring the Delta Diabetes Project (DDP), a regional network of clinical sites that employs a multidisciplinary chronic care model that adheres to the American Diabetes Association's standards of medical care for patients with diabetes. DDP providers are caring for approximately 5,000 patients, the majority of whom are African American, impoverished, and typically suffer from inadequate access to medical care. The proposed BLUES Project (BLUES is an acronym for Bettering Lives Utilizing Electronic Systems), is designed to determine whether utilization of health IT in diabetes management will enhance delivery of healthcare and improve health outcomes among patients. Four diabetes management clinics that employ the same model of diabetes care will participate in this study: two are located in an urban setting (one of which will utilize the health IT system), and two in a rural setting (one of which will utilize the health IT system). The proposed study includes three specific aims: (1) successfully implement an electronic health record (EHR) system in two existing diabetes management clinics, focusing on integration of the EHR into clinician workflows; (2) evaluate the impact of the EHR system on clinical processes of care and patient outcomes; and (3) based on the lessons learned and evaluation results, produce and distribute a generalizable, replicable model of care for implementing an integrated health IT system for diabetes management care throughout the U.S.