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This project will evaluate the effects of a technology-based patient-reported outcomes system on patient management of type 2 diabetes in primary care practices.
This study aimed to improve care transitions for low-income patients with multiple chronic conditions using health information exchange, and found significant reductions in inpatient and emergency department utilization.
Added a health care portal to the existing community-wide electronic data exchange which will allow for use of the current electronic messaging system along with migration to a full EMR; evaluated physician office efficiency improvement and cost reduction, payer return on investment, and safety and quality improvement.
Developed approaches to share data on patient clinical and diagnostic information across systems and created an implementation plan for systems integration.