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15th ihs id_web_presentation_final_may142003

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CDC Public Health Informatics - Indian Health Service

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15th ihs id_web_presentation_final_may142003

  1. 1. The ID-Web Project: Improving Care and Surveillance <ul><li>Jeanne Bertolli, PhD </li></ul><ul><li>Agha Nabeel Khan, MD, MPH </li></ul><ul><li>Arnulfo C. Rosario, Jr., MD, MPH </li></ul><ul><li>Laura Shelby, BA </li></ul><ul><li>Peter Holck, PhD, MS, MPH </li></ul><ul><li>Steve Davis, MSEE </li></ul><ul><li>James E. Cheek, MD, MPH </li></ul><ul><li>15 th Annual IHS National Research Conference </li></ul><ul><li>Scottsdale, Arizona </li></ul><ul><li>May 14, 2003 </li></ul>
  2. 2. Delivery of high quality primary care … . is supported by: information technology efficient organizational systems.
  3. 3. Improving Quality of Care Feedback Systems Solution
  4. 4. Literature Review <ul><li>Effect of a clinical practice improvement intervention on Chlamydial screening among adolescent girls. Shafer MA, Tebb KP, Pantell RH, Wibbelsman CJ, Neuhaus JM, Tipton AC, et al. JAMA. 2002 Dec 11;288(22):2846-52. </li></ul>
  5. 5. Background <ul><li>AI/AN have the second highest rates of chlamydia, gonorrhea, and syphilis </li></ul><ul><li>How to address in the clinical setting? </li></ul><ul><ul><li>Provide information about the high STD prevalence in the patient population </li></ul></ul><ul><ul><li>Provide training on STD testing and treatment guidelines </li></ul></ul><ul><ul><li>Identify and resolve system issues related to STD testing and treatment </li></ul></ul>
  6. 6. Objective <ul><li>Feedback on HIV, STDs, and hepatitis B </li></ul><ul><ul><li>Caseload and Care </li></ul></ul><ul><li>Links to Training (for CME credit) on National Guidelines </li></ul>
  7. 7. <ul><li>Albuquerque PHS Indian Hospital (Albuquerque, New Mexico) </li></ul><ul><li>Rapid City PHS Indian Health Service Hospital (Rapid City, South Dakota) </li></ul><ul><li>Ignacio PHS Indian Health Center (Ignacio, Colorado) </li></ul><ul><li>Phoenix Indian Medical Center (Phoenix, Arizona) </li></ul><ul><li>W.W. Hasting Indian Hospital (Tahlequah, Oklahoma) </li></ul>5 Pilot Sites
  8. 8. Clinical Indicators <ul><li>Women seen for prenatal care who have been tested for syphilis, HIV, chlamydia, hepatitis B </li></ul><ul><li>Patients with chlamydia receiving CDC recommended treatment, azithromycin for sex partner </li></ul><ul><li>Patients with chlamydia, syphilis or gonorrhea who were tested for HIV and hepatitis B </li></ul><ul><li>Patients with HIV or AIDS receiving HAART </li></ul><ul><li>Patients with new STD/HIV who had documented risk-reduction counseling </li></ul>
  9. 9. Methods RPMS ID- Web Lab and clinical data 13 guidelines-based indicators of clinical care
  10. 13. Facility A Facility B
  11. 14. Facility A
  12. 17. Conclusions <ul><li>Demonstrates a potentially powerful tool to assist providers in delivering high quality care for HIV, STDs, and Hepatitis B </li></ul><ul><li>Could be expanded to include other infectious diseases </li></ul><ul><li>Larger scale implementation will be dependent on: </li></ul><ul><ul><ul><li>Perceived value </li></ul></ul></ul><ul><ul><ul><li>Support of data entry </li></ul></ul></ul>
  13. 18. Contact Information <ul><li>Participating in ID-Web </li></ul><ul><li>Please contact Laura Shelby </li></ul><ul><li>tel: (505) 248-4395 </li></ul><ul><li>e-mail: [email_address] </li></ul><ul><li>Demo of the system </li></ul><ul><li>http://www. webepi.com/index.jsp </li></ul>
  14. 19. <ul><li>Bill Gloyd, MD </li></ul><ul><li>Joan MacEachen </li></ul><ul><li>Erica Avery, RN </li></ul><ul><li>Mike Crutcher </li></ul><ul><li>Rod Copely </li></ul>Acknowledgements
  15. 20. Thank You! Q & A

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