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Innovative Web-based Tool Helps Doctors Improve Care
Date:10/1/2010

tistically 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
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SOURCE Kaiser Permanente
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