Project Details -
Completed
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Grant NumberUC1 HS015362
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AHRQ Funded Amount$1,352,725
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Principal Investigator(s)
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Organization
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LocationWatsonvilleCalifornia
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Project Dates09/30/2004 - 12/31/2007
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Technology
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Medical Condition
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Population
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Type of Care
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Health Care Theme
This project was built on a history of productive collaboration among Santa Cruz County's public and private health care providers for the purpose of operating a community-wide diabetes registry. The original aims were to: 1) Build a collaborative to support the spread of best practices in chronic care management starting with diabetes; 2) Implement a widely adopted point of care electronic registry tool; 3) Reduce complications for persons with diabetes; 4) Reduce disparities in diabetes care; and 5) Demonstrate the business case to sustain a community-wide registry. Project scope included developing the governance structure for the Community Chronic Care Network and implementing a community-wide diabetes registry. The method for developing the registry was to extend existing software developed by a local physician group to as many providers as possible and to obtain data from multiple sources including electronic medical records. Lessons learned regarding the challenges of registry development, adoption and sustainability led to changes in strategy for collaborative improvement of chronic care. Current aims are to support community-wide adoption of electronic medical records with disease registry capability and to wait for a future opportunity to exchange data for a community-wide registry.