Gilmet GP et al. 1998 "The use of an integrated clinical laboratory and pharmacy diabetes database to provide physician performance feedback in an IPA-model HMO."

Reference
Gilmet GP, Mallon RP, Griffin BT, et al. The use of an integrated clinical laboratory and pharmacy diabetes database to provide physician performance feedback in an IPA-model HMO. J Ambulatory Care Manage 1998;21(1):12-23.
Abstract
"The ability to link pharmacy claims and clinical laboratory result databases in a managed care setting holds great promise as an outcomes management tool. The authors have created a powerful disease management capability that generates dynamic, disease-specific reports containing actionable, provider-patient-level laboratory and pharmacy information. This system is used to send reports to primary care physicians in an independent practice association (IPA)-model managed care setting to improve the care of patients with diabetes mellitus. This systematic feedback methodology can augment physician decision-making behavior, promote compliance with national guidelines, and measure improvement in plan-level, population-based outcomes over time."
Objective
To "describe the initial design of a disease management report and data set characteristics and its potential utility as a physician educational and behavioral change agent" in this large health maintenance organization, using diabetes as an example.
Tools Used
Type Clinic
Primary care
Size
not applicable
Geography
Urban, suburban, and rural
Other Information
The authors analyzed data from the Blue Care Network of Southeast Michigan, with nearly 1,100 primary care physicians.
Type of Health IT
Data feedback system
Type of Health IT Functions
The program integrates "clinical records at the patient-specific level of detail ... [by] merging patient records of clinical laboratory data, prescription claims and PCP assignment into a single database... An extraction program was created to sort only those records on members 18 years of age and older that included prescription claims for diabetes-specific drugs ... creating a single file containing" member identifying information, primary care provider information, prescription type, test results and date of service and test ordering physician. Patient-specific reports were created and delivered to physicians to "provide clinically relevant, actionable performance feedback."
Workflow-Related Findings
"Anecdotal reports from physicians who have received ADEPT provider-patient-specific reports indicate a high level of satisfaction."
Study Design
Only postintervention (no control group)
Study Participants
Data was collected on diabetes patients over the age of 18.