E-Innovations to Support Primary Care

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Brian Prestwich, MD Assistant Professor of Family Medicine Keck School of Medicine of the University of Southern California Thursday, February 23, 2012

E-Innovations to Support Primary Care

Brian Prestwich, MD
Assistant Professor of Family Medicine
Keck School of Medicine of the University of Southern California
Thursday February 23, 2012

01/12/2012

DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

Innovation Networks Yield New Tools That
Improve Health, Improve Care and Reduce Cost

Prompting Sheet Based on ‘Four Pillars’ Results of 2010 EDSI Collaborative, Co-Sponsored with AAP
Chapters 2 and 4

Rate of developmental screening Rate of maternal depression screening
100% 100%
80% 80%
60% 60%
40% 40%
20% 20%
0%
0%
O N D J F M A M J J A S O N D
O N D J F M A M J J A S O N D
2009 2010
2009 2010

At baseline, 11% of prac ces used a screening tool At baseline, 7% of prac ces screened for maternal
(ASQ or PEDS). The prac ces increased to 93%. depression. The prac ces increased to 54%.

Rate of preven ve services promp ng Total office systems in place
system
100% 16
80%
12
60%
40% 8

20% 4
0%
O N D J F M A M J J A S O N D 0
O N D J F M A M J J A S O N D
2009 2010
2009 2010

At baseline, 7% prac ces used a comprehensive At baseline, 2 of 16 evidence-based suppor ve
care promp ng system. Prac ces increased to 77%. office systems were in place, increasing to 11.

Simple processes have yielded dramatic increases in screenings,
early diagnoses and targeted interventions that improve health
and reduce costs over time.
Source: EDSI/AAP 2010 Physician Collaborative

Visit 2
Overall Risk

Self Manage Risk

Mental Risk

PVD Risk

Eye Risk

Neuropathy Risk
High
CVD Risk
Medium
Renal Risk Low

GC Risk

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Neuropathy Self Manage
GC Risk Renal Risk CVD Risk Eye Risk PVD Risk Mental Risk Overall Risk
Risk Risk
High 28 53 16 28 0 0 10 10 24
Medium 27 29 43 54 82 80 38 72 25
Low 27 0 23 0 0 2 34 0 33

Brian Prestwich, MD
prestwic@usc.edu
213-744-0801 x256 (office)
310-567-4644 (cell)

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