Creating a diabetes foot reminder-based registry using the electronic medical record

James S. Wrobel, William Chagares, Rodney M. Stuck, Frances Weaver, Ryan T. Crews, Lauren Rapacki, Rhonda Paulson, David G. Armstrong

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objective: We created a new diabetes foot examination clinical reminder to directly populate a foot risk registry and examined its accuracy versus administrative data. Methods: A pre-and post-test design assessed accuracy of coding foot risk and clinician acceptability. The intervention hospital's reminder was replaced with a dialogue tick box containing the International Diabetic Foot Classification System to populate risk using health factors. Results: There were no hospital agreement differences for each foot condition except diabetes and peripheral neuropathy, demonstrating higher agreement at the intervention hospital. There were no differences in service agreement adherence or consulting rates although both demonstrated significantly lower consulting rates at study end. The intervention hospital had a significantly lower patient cancellation rate (1% v. 5%, P=0.01) and better coding for grade 3 patients. The new reminder demonstrated high acceptability. Conclusions: The registry system resulted in improved discrimination of the highest foot risk. Further testing is recommended.

Original languageEnglish (US)
Pages (from-to)283-287
Number of pages5
JournalInformatics in Primary Care
Volume18
Issue number4
StatePublished - Nov 1 2011

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Keywords

  • Amputation
  • Amputation prevention
  • Diabetes
  • Diabetic foot
  • Electronic medical record
  • Patient care planning
  • Quality improvement
  • Registries
  • Reproducibility of results
  • Validation studies

ASJC Scopus subject areas

  • Leadership and Management
  • Health Informatics
  • Family Practice

Cite this

Wrobel, J. S., Chagares, W., Stuck, R. M., Weaver, F., Crews, R. T., Rapacki, L., Paulson, R., & Armstrong, D. G. (2011). Creating a diabetes foot reminder-based registry using the electronic medical record. Informatics in Primary Care, 18(4), 283-287.