Coordination of Diabetes Care in Four Delivery Models Using an Electronic Health Record

Abstract

Diabetes care can be coordinated across providers, but some coordination issues persist despite the informational continuity provided by an EHR. Multidisciplinary care teams should be alert to potential coordination challenges, and possible solutions should be explored, including longitudinal care planning with structured communications at key points in care.

Organizational determinants of patient-centered fertility care: a multilevel analysis

“…Employment duties preclude many partners from regularly accompanying women on their clinic visits. It is therefore conceivable that the PHR's ''placeless'' nature contributes to the partners' positive experiences (36). The PHR's forum and chat room may also facilitate self-help, allowing patients to ask others for advice or seek support (37).…”

“…This may be explained by the PHR site allowing questions to be answered on the moderated forum almost 24 hours a day. Moreover, the PHR provided informational continuity: it offers patients readily accessible, coherent, personalized information (34,36), which previously was only available in person. Employment duties preclude many partners from regularly accompanying women on their clinic visits.…”

2017 National Standards for Diabetes Self-Management Education and Support

“…Personcentered health care is associated with improved outcomes (79)(80)(81) and better relationships between referring practitioners, individuals, and teams (82,83). For DSMES services to be sustainable, quality must be a priority (84,85).…”

Organization’s Quality Maturity as a Vehicle for EHR Success

“…The health care industry has not been invulnerable of these changes and faces a myriad of pressures to cut costs and offer high quality care [7][8][9][10].…”