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Chronic Disease/NCD Collaborative & CDEMS. Patrick S Luces & Augusta Rengiil Pacific Chronic Disease Council. Why we need this model?. Regional Assessments Lack collaboration between medical care providers and public health staff

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Chronic disease ncd collaborative cdems

Chronic Disease/NCD Collaborative & CDEMS

Patrick S Luces & Augusta Rengiil

Pacific Chronic Disease Council


Why we need this model
Why we need this model?

  • Regional Assessments

    • Lack collaboration between medical care providers and public health staff

    • Lack of system of clinical services to assure continuity of care

    • Lack up-to-date policies and procedures

    • Lack of standards of care

    • Lack of consistent data

  • FASC Recommendations listed (April 2009)

    • Data

    • Certified NCD lifestyle educators

    • NCD Collaborative


What is a collaborative
What is a collaborative?

The Collaborative approach involves improvements in six elements of NCD team care:

  • Self-management

  • Decision support

  • Clinical information system (CDEMS)

  • Delivery system design

  • Organization of health care

  • Community


What is cdems
What is CDEMS?

  • CDEMS: Chronic Disease Electronic Management System

  • is a flexible database to help document and track health care outcomes.

  • is designed to assist medical providers and healthcare management and tracking and improving the care of patients with one or more chronic health conditions.

  • allows both patient level tracking/reporting and population level tracking/reporting.


Meeting your needs
Meeting your needs..

  • CDEMS can easily be adapted to the unique needs of the USAPI (i.e. betel nut and sakau use) can be added as behavioral risks.

  • Easily modify or change any clinic/hospital reports, formatting of Progress Notes, or any field in the program.



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