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Jackie Gianunzio CDEMS Support Specialist - PowerPoint PPT Presentation

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Intro to CDEMS. Jackie Gianunzio CDEMS Support Specialist. CDEMS Highlights. Overview Data Entry Reports: using the data Start Up! Support Resources. About CDEMS C hronic D isease E lectronic M anagement S ystem Developed by WA Diabetes Prevention & Control Program - 1999

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Intro to CDEMS

Jackie Gianunzio

CDEMS Support Specialist

cdems highlights
CDEMS Highlights
  • Overview
  • Data Entry
  • Reports: using the data
  • Start Up!
  • Support Resources
  • Chronic Disease Electronic Management System
  • Developed by WA Diabetes Prevention & Control Program - 1999
  • Used by community health centers, primary care practices, rural clinics, hospitals, IPA’s nationwide
cdems user map
CDEMS User Map
  • Ontario, Canada
  • Haiti
  • Mayiladuthurai, India
  • Nigeria, South Africa
  • Trinidad/Tobago, South Africa


  • Flexible & customizable
  • Free!
  • Transition HIT tool
  • Clinic-owned registry; no required reporting
  • Optional electronic lab interface & aggregate reporting modules
what is cdems
What is CDEMS?
  • A registry focused on chronic disease health care
  • A progress note for planned care
  • A case management tool w/alerts & reminders
  • An evidence-based tool for organized, standard approach to care
  • Population-based reports
chronic condition tracks
Chronic Condition Tracks
  • Diabetes
  • Asthma
  • Depression
  • Cardiovascular
  • HIV
  • Cancer
  • Obesity
  • Chronic Pain
  • Adult Preventive Services
part of the chronic care model


Health System

Health Care Organization

Resources and Policies


Self-Management Support







Practice Team






Improved Outcomes

“Part of the Chronic Care Model”
flexible reporting
Flexible Reporting
  • Measure clinic-wide & provider performance
  • Population-based queries identify who’s overdue or missing treatment
  • Evaluate impact of quality improvement initiatives
  • Document outcomes for reimbursement
technical specs
Technical Specs
  • Microsoft Access databaseAccess versions 97, 2000/2002/2003, 2007/2010
  • Install on single PC or network
  • Works on Mac w/Windows interface
  • Open source-code
program structure

Data Entry Program

Electronic Lab Interface


Reports Program

Program Structure

Data file


  • your patient data
  • your CDEMS setup
data entry highlights
Data Entry Highlights
  • Print
  • Entry
  • Edit
registry customizations
Registry Customizations
  • Conditions & Measures
  • Tickler Alert Settings
  • Pick Lists/Validation Rules
  • Progress Note Style & Layout
  • Lab Graphs
use your registry data
Use your registry data!
  • Population-based analysis- identify patients needing care - reports by provider, clinic, clinic group
  • Identify areas for improvement (gaps in care)
  • Measure success of QI efforts
  • Collaborative, state & federal agency, grants reporting
  • Documenation for quality certifications, pay-for-performance reimbursements
types of reports
Types of Reports
  • Progress Note
  • Summary Reports (statistical)
  • Intervention Lists (patient lists)
  • Custom Queries
cdems reports

1. Identify reporttime period

2. Select a clinic

3. Choose a report

CDEMS Reports
sample dm intervention report

Patients with HbA1c>7

Patients with foot checks

Patients with current visit

Patients without visit

Patients with HbA1c< 7

Patients missing foot checks

Sample DM Intervention Report
registry start up
Registry Start Up
  • Download CDEMS files at
  • Set up clinic
  • Customize PCP/ethnicity/insurance dropdown lists, measures, ticklers
  • Enter (import) patient demographics
  • Record patient health information
self support resources
Self-Support Resources
  • User Guides- User Forum- Shared Resources
  • e-mail list
  • National CDEMS User Support teleconferences
fee based support
Fee-Based Support
  • Web TrainingData Entry & Reports webinars
  • Tech SupportOn DemandAssistance with start-up, data imports, customizations, special reports/queries, troubleshooting technical issues, lab interfaces, data cleanup
  • Jackie GianunzioCDEMS Support ~