cdmNet: Online Chronic Disease Management

1. Snapshot of the evaluation cdmNet: cdmNet: Online Chronic Disease Management Mary Boldiston Precedence Health Care mary.boldiston@precedencehealthcare.com Ph: 0432 615 785

2. cdmNet Project Overview • How cdmNet works: • Extracts patient data from GP desktop • Creates electronic, personalised, best-practice care plan • Shares care plan and health record with care team and patient • Monitors and updates care plan and health record • Automates follow-up and review • Supports patient self management • Manages Medicare compliance 1. Best practice: Requires longitudinal planned care, in collaboration with the care team, including the patient and with regular follow-up and review 2. GPs find this hard to implement because: They don’t have enough time, there’s too much paper work, and it is hard to ensure Medicare requirements are followed. All this overhead distracts from patient needs. Plan Collaborate 3. Trials of cdmNet: Monash University and Deakin University conducted trials of cdmNet in the Barwon South Western Region of Victoria in 2009 involving 12 GPs and 100 patients. It included analysis of service use and health outcome measures, and collection of information from surveys and expert panels. Monitor Review

3. cdmNet Evaluation The trials showed that the use of cdmNet resulted in increases of: • 205% in GP Management Plans; • 201% in Team Care Arrangements; • 595% in GPMP Reviews; • 358% in TCA Reviews • Quality of care was also greatly improved with increased compliance with best practice guidelines and greater collaboration: • 82% in HbA1c tests (compared with 4% regionally) • 75% in microalbumin tests (12%) • 66% in HDL tests (-4%) • 1645% in dietician services (26%) • 151% in podiatry services (53%), and • 498% in HMR services (23%). • Patients also received automatic reminders of the need to make appointments by SMS and email, driving referrals and better adherence to guidelines.

4. Outcomes: National Rollout of cdmNet • RACGP Oxygen has selected cdmNet to manage chronically ill patients and is rolling out to members nationally with the PrimaryCare Sidebar • The Commonwealth Digital Regions Initiative is supporting the national rollout of cdmNet with the NBN • cdmNet is linking to Fred Health’s dispensing systems, eRx, and Cisco telehealth services as part of the Collaborative Care Cluster Australia, supported under the Victorian Science Agenda program • cdmNet has been selected as a Wave 2 PCEHR site at St Vincent's & Mater Health in Sydney and Calvary Health Care in the ACT • Saves time: cdmNet increases productivity by up to 250% • Eliminates paperwork: cdmNet automates all documentation • Simplifies collaboration: cdmNet removes the overhead of collaboration with other care providers and the patient • Improves safety and quality of care: cdmNet allows users to deliver best practice care to their entire chronically ill population • Increases net revenues: regular users increased annual CDM revenues by over $35,000 per GP • Reduces risk: cdmNet tracks patient care and facilitates Medicare compliance • Maximises flexibility: cdmNet operates from solo GP practices to superclinics

5. To find out more information about cdmNet: Links to reports: - cdmNet: Broadband Health Network for Transforming Chronic Disease Management. Final Report. Monash University, Deakin University, Victoria University and Precedence Health Care. 2010 http://precedencehealthcare.com/site/wp-content/uploads/2010/08/CDM-Net-Final-Report-Executive-Summary-20100520.pdf • Why is telemedicine not more widely used? Georgeff M & Hilton J. PulseIT Sept 2011 pp 32-41. (Accessed on 29th July 2011( http://www.centredcare.com/PulseIT/PulseITSeptember_pp32-41.pdf Precedence Health Care & cdmNet http://precedencehealthcare.com/cdmnet/ Professor Michael Georgeff Department of General Practice, Monash University CEO, Precedence Health Care Email: michael.georgeff@precedencehealthcare.com Phone: +613 9023 0800 This work is supported by funding from the Australian Government under the Digital Regions Initiative and by the Victorian Department of Innovation, Industry and Regional Development under the Victorian Science Agenda program.