Navigation Links
Innovative Web-based Tool Helps Doctors Improve Care

PORTLAND, Ore., Oct. 1 /PRNewswire/ -- A web-based tool that extracts information from the electronic medical record (EMR) helps primary care physicians improve care and manage their entire panel of patients. Those are the findings of two new Kaiser Permanente studies -- the first to examine the effectiveness of a panel management tool in a large, diverse patient population.

The first study, published today in The American Journal of Managed Care, found that the proprietary Panel Support Tool or (PST), helped doctors improve care for patients with diabetes and/or heart disease.  The other study, whose findings appeared in Population Health Management, found that the PST also helped doctors provide better preventive care for healthy patients.

The Panel Support Tool (PST), devised and implemented by doctors at Kaiser Permanente, is a web-based tool that helps primary care physicians manage care for individual patients, groups of patients or their entire panel. It does this by comparing the care the patient is receiving to the care that is recommended by national guidelines.  For example, doctors can query the PST in advance of a patient visit to find out if that patient needs a screening test or vaccine. They can ask the PST to display a list of all of their patients who are overdue for a mammogram or colon cancer screening test or a list of their diabetic patients whose blood sugar levels are too high, or those who need a foot or eye exam.

"Patients in the US receive only about half of the preventive and follow-up care now recommended by national guidelines. Our study shows that, by using the innovative Panel Support Tool, in conjunction with the electronic medical record, we can provide patients with more of the care they are supposed to receive," said Adrianne Feldstein, MD, MS, lead author of the AJMC study and senior investigator at the Kaiser Permanente Center for Health Research in Portland, Oregon.

"Doctors and staff love the Panel Support Tool because it makes primary care practice more efficient by addressing the needs of all of their patients," said Yvonne Zhou, PhD, Senior Manager of Analytics & Evaluation at Kaiser Permanente. Zhou was lead author of the Population Health Management study. "Harnessing the power of immediately available and complete patient information, the PST allows primary care providers to rapidly examine what is recommended for an individual patient, a group of patients with a specific condition, or their entire panel of patients."

The retrospective, longitudinal study in the October issue of The American Journal of Managed Care followed 204 primary care teams who were using the Panel Support Tool (PST) to manage care for 48,344 patients with diabetes and/or heart disease. After three years, for patients with diabetes, the percentage of care recommendations met every month increased from 67.9 % to 72.6%; for heart disease patients, the percentage rose from 63.5% to 70.6%

The AJMC study used 2005 as the pre-intervention, 2006 as the implementation, and 2007 as the post-intervention periods. Care recommendations measured included blood sugar levels, blood pressure screening and control, retinopathy, nephropathy, foot screening, use of aspirin, statins, angiotensin converting enzyme inhibitors and beta blockers, and influenza and pneumococcal vaccination.

The second study, published online in Population Health Management, involved 207 primary-care teams that were using the PST to manage the care of 263,509 adult patients, some who were relatively healthy and others who have chronic diseases.  The study looked at 13 different care recommendations and found that after 20 months, the PST improved performance from 72.9% to an average of 80%.  Researchers found that during the first year of tool use, performance in delivering the care recommendations improved to a statistically significant degree every four months.

The PST is a web-based application that is tightly integrated with KP's HealthConnect™, the world's largest private-sector electronic record. Providers can toggle between the PST and KP HealthConnect, which includes comprehensive documentation of patient care in all settings including the lab, pharmacy, radiology, and other ancillary systems.

The PST monitors recommendations pertaining to medication management and screening for comorbidities in six chronic conditions: asthma, diabetes, coronary artery disease, heart failure, hypertension, and chronic kidney disease. The tool also monitors preventive care measures, such as administering adult immunizations and screening for breast, cervical, and colorectal cancer, hyperlipidemia, and osteoporosis. For each care recommendation, the Panel Support Tool indicates what actions need to be taken, if any.

Most recommendations monitored by the tool are derived from the Healthcare Effectiveness Data and Information Set (HEDIS), a tool developed by the National Committee for Quality Assurance and used by more than 90% of America's health plans to measure performance on important dimensions of care and service.  Other recommendations reflect organizational priorities based on peer-reviewed literature and/or internal research at Kaiser Permanente.

Once a day the PST extracts data from KP HealthConnect™ and other data repositories and automatically updates all patient-level and panel views. When patients obtain needed screening or lab tests or fill prescriptions, the panel support tool reflects that activity the following day.

The Population Health Management study found that the best ways to improve care using PST include querying the system for care gaps for the entire panel every two to four weeks, sending standardized letters or secure email messages around the time of members' birthdays that identify all needed care, having medical assistants or nurses call patients to schedule screening tests, and having pharmacists review patients' records for needed care when refilling medications. While the PST is a great tool to help physicians take better care of their patients it does not override shared decision making between the doctor and patient.

More research is necessary to optimize results and determine if patient outcomes improve with improved care delivery.

Authors on The American Journal of Managed Care study included: Adrianne Feldstein, MD, MS, Nancy A. Perrin, PhD, A. Gabriela Rosales, MS, Gregory A. Nichols, PhD, David H. Smith, RPh, MHA, PhD, and Jennifer Schneider, MPH of the Kaiser Permanente Center for Health Research; Robert Unitan, MD. Of Northwest Permanente, Carrie M. Davino, MD, and Nancy Louie Lee, RPh of Kaiser Permanente Northwest, ,Yvonne Zhou, PhD of Kaiser Permanente.

Authors on the Population Health study included: Yvonne Zhou, Jian J. Wang, MS, and Marianne Turley, PhD  from Analytics & Evaluation, HIT Transformation / Analytics, Kaiser Permanente; Robert Unitan, MD, and Homer Chin, MD of Northwest Permanente; and  Terhilda Garrido, MPH, and Linda Radler, MBA, of HIT Transformation / Analytics, Kaiser Permanente.

About the Kaiser Permanente Center for Health Research (

Kaiser Permanente's Center for Health Research, founded in 1964, is a nonprofit research institution dedicated to advancing knowledge to improve health. It has research sites in Portland, Ore., Honolulu and Atlanta.

About Kaiser Permanente

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 8.6 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to:

SOURCE Kaiser Permanente
Copyright©2010 PR Newswire.
All rights reserved

Related medicine technology :

1. Upstream Biosciences Acquires Innovative Platform Technology and Drug Candidates for Tropical Parasitic Diseases
2. NIST Awards $2 Million to Velcura Therapeutics, Inc. for Innovative Technology R&D - Dual-Action Therapies for Bone Disease
3. Oculus Innovative Sciences to Present at 4th Annual BIO InvestorForum Conference
4. Surgeons Develop Innovative Life-Saving Treatments to Correct Massive Bleeding in Trauma Patients
5. Raydiance Collaborates With Rutgers University and Nations Largest Tissue Bank to Develop Innovative Tissue Processing Approaches
6. YMed, Inc. Successfully Completes First Clinical Cases With Innovative VascuTraK(TM) II PTA Dilatation Catheter
7. Innovative Brain Scanning for Alzheimers Screening Unveiled
8. Gates Foundation Seeks Proposals for Innovative Global Health Research
9. In Blood Vessel Stents, Innovative Materials Allow Better Control, Delivery of Gene Therapy
10. Studies of an Innovative Catheter Ablation System for Atrial Fibrillation Reveal Excellent Outcomes, Safety Profile and Fast Procedure Times
11. CeNeRx BioPharma Finalizes Plans to Initiate Phase II Trials for Its Novel Antidepressant Agent Tyrima(TM) Using Innovative Brain Imaging Study
Post Your Comments:
(Date:11/30/2015)... Nov. 30, 2015 iCAD, Inc. (Nasdaq: ... feature its latest solutions for advanced image analysis ... cancer at the Radiological Society of North American ... from November 29 to December 4, ... including iReveal®, an automated breast density assessment solution, ...
(Date:11/30/2015)... 30, 2015  Hanger, Inc. (NYSE: HGR ) ... the terms of its previously announced consent solicitation (as ... $200,000,000 aggregate principal amount 7⅛% Senior Notes due 2018 ... consent fees payable pursuant to the Consent Solicitation, (ii) ... (iii) the expiration date of the Consent Solicitation.    ...
(Date:11/30/2015)... , November 30, 2015 Mexico Healthcare and ... Life Sciences Report 2015 . --> Pharmaboardroom releases its ... Latin America , a country of over ... a country of over 122 million people. --> It ... pharmaceuticals, or life sciences insights into the second largest pharma and ...
Breaking Medicine Technology:
(Date:11/30/2015)... ... November 30, 2015 , ... Using a combination of two ... American children and adults, according to a new study by researchers at the School ... in Children and Adults: Using Combinations of Blood Glucose Tests ,” published in Frontiers ...
(Date:11/30/2015)... ... ... Newly reviewed and approved “NJ Top Dentist”, Dr. Eugene Isola III, is ... in 1935. His father graduated from NYU School of Dentistry in 1965. ... their commitment and passion to the Practice of Dentistry. Continuing the family practice ...
(Date:11/30/2015)... New York, NY (PRWEB) , ... November 30, 2015 , ... ... New York Times,” will be released on December 1, 2015, to coincide with World ... book about the groundbreaking journalist who covered the AIDS epidemic as he was dying ...
(Date:11/30/2015)... ... November 30, 2015 , ... The American Society for ... honor of World AIDS Day 2015. On Nov. 30, ASCP shared its “Give a ... about World AIDS Day and the importance of getting tested for HIV. , ASCP ...
(Date:11/30/2015)... ... 30, 2015 , ... California-based i2i Systems, a pioneer defining ... Michigan-based Family Health Center (FHC) has selected i2iTracks as their population health management ... the largest Affordable Care Act grant for Federally Qualified Health Centers in the ...
Breaking Medicine News(10 mins):