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

三角洲健康联盟（DHA）建议在2015年展示糖尿病管理实践的效果， 几个流动诊所在整个密西西比时，利用精心设计的，全面的健康 信息技术.拟议研究的时间与实施独立计划的时间相吻合 电子健康记录在这些网站;因此，存在一个宝贵的机会，比较类似的做法， 医疗保健提供者和他们的病人的健康结果，并没有利用一个全面的 卫生信息技术系统。 糖尿病的患病率和发病率在美国正达到流行病的比例，这是特别重要的。 在密西西比是真的。在过去的五年里，DHA一直在赞助三角洲糖尿病项目（DDP）， 区域临床站点网络，采用多学科慢性病护理模式， 美国糖尿病协会对糖尿病患者的医疗护理标准。DDP提供商是 照顾大约5,000名病人，其中大多数是非洲裔美国人，贫困， 通常都得不到充分的医疗照顾。 拟议中的BLUES项目（BLUES是“利用电子系统改善生活”的首字母缩写）， 旨在确定在糖尿病管理中使用卫生信息技术是否会提高 医疗保健和改善患者的健康结果。四个糖尿病管理诊所， 相同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 利用卫生信息技术系统），以及两个在农村地区（其中一个将利用卫生信息技术系统）。的 建议的研究包括三个具体目标：（1）成功实施电子健康记录（EHR） 系统在两个现有的糖尿病管理诊所，重点是整合EHR到临床医生 工作流程;（2）评估EHR系统对临床护理流程和患者结局的影响;以及 (3)根据经验教训和评价结果，编制和分发一份可推广、可复制的 护理模式，用于在整个糖尿病管理护理中实施集成的健康IT系统 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.