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<h1>Electronic Medical Records and Diabetic Management</h1>
<p> Worksheet of patients shows targets and patient's records. This is a disease management system. Web reporting system. Diabetes and A1C management can be done with this system. System gives overview of different physicians and how many patients they have. How many are at goal etc. Print out list of patients who are not at goal. Physicians can contact patients. Active patients list.</p>
<h2>Getting Good Results With Diabetic Patients</h2>
<p>61 % of our patients with A1C less than 7. Good results compared to national averages. Dilated eye exam included with office visit. System shows who needs eye exam. Improved ability to manage eye exams.
<h2>Drug Interventions for diabetic control</h2>
<p> Lifestyle and insulin control. Question about differential reimbursement. Presently no performance incentives in national and regional health plans. Electronic systems could make this possible in the future. It cannot be done by hand.</p>
<h2>How to overcome physician inertia in diabetic management</h2>
<p>One intervention is the ability to print out list of guidelines and populate it with the patient's actual records. Patients ask doctors for the sheet. Now doctors are asking for these "report cards." With repetitive report cards, intervention improves. Doctors and patients can see progress. Allows doctors to practice safer medicine, gives warnings in case of renal problems etc.
<h2>Team approach to Diabetes Patient Care</h2>
<p>This record system fosters a team approach and can be extended to many community insitutions. Team approach is needed to manage diabetes.</p>
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