slide1
Download
Skip this Video
Download Presentation
1 Epidemiology and Health Services Research Unit at Instituto Mexicano del Seguro Social;

Loading in 2 Seconds...

play fullscreen
1 / 12

1 Epidemiology and Health Services Research Unit at Instituto Mexicano del Seguro Social; - PowerPoint PPT Presentation


  • 75 Views
  • Uploaded on

Evaluating the quality of care for patients with type 2 diabetes using the electronic medical record information in Mexico. 1 Epidemiology and Health Services Research Unit at Instituto Mexicano del Seguro Social;

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' 1 Epidemiology and Health Services Research Unit at Instituto Mexicano del Seguro Social; ' - matt


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Evaluating the quality of care for patients with type 2 diabetes using the electronic medical record information in Mexico

1Epidemiology and Health Services Research Unit at Instituto Mexicano del Seguro Social;

2 Department of Population Medicine at Harvard Medical School and Harvard Pilgrim Health Care Institute;

3Centre for Health Services and Policy Research, The University of British Columbia, Canada.

Ricardo Pérez-Cuevas1 Svetlana Doubova1 Michael Law3 Aakanksha Pande2Magdalena Suárez1 Dennis Ross-Degnan2 Anita Wagner2

objectives
OBJECTIVES
  • To develop quality of care indicators (QCI) for type 2 diabetes in the Mexican Institute of Social Security (IMSS)
  • To assess the feasibility of extracting data from IMSS Electronic Health Record to construct the QCI; and
  • To evaluate the quality of care provided to patients with T2DM cared for at IMSS
methods
METHODS

Design: The study used a mixed method approach consisting of :

  • Development of quality of care indicators for T2DM using the RAND-UCLA method;
  • Data extraction and construction of Indicators
  • Evaluation of quality of care for T2DM

Setting: 4 clinics in Mexico City covering 520,000 people

Study Population: Patients with T2DM who received care in 2009.

family medicine health information system
Family medicine health information system

Pharmacy

Affiliates database

e-prescription

Transfer of data to other institutional systems- data warehouses

Electronic health record

Laboratory tests

System for disability leaves

Essential list of drugs

data extraction
Data extraction
  • Electronic health record
    • Clinical information, diagnosis, treatment, number of visits, laboratory tests ordered
  • Membership database
    • Members information: address, demographics,
  • Prescription
    • Drugs prescribed, amount and dosages
  • Laboratory
    • Laboratory results

2009

extraction of routine ehr data to construct pre defined qci
Extraction of routine EHR data to construct pre-defined QCI

Extract, standardize, and load high quality data

Sources of data

EHR

Decision makers

Clinicians

Researchers

Integrated data base

Lab

Difssemination of results

Affiliation

Validation

Prescr.

QCI analytical models

Integration of data

Analysis

Generation of information

Potential institutional benefits

conclusions
CONCLUSIONS
  • It is feasible to evaluate QC using the IMSS EHR data.
  • It is necessary to improve both QC and quality of information in the EHR in IMSS.
  • Measuring QC in this way is efficient
  • It is possible to identify the performance of clinics or single providers and guide future interventions aimed at improving QC.
ad