Evidence map›Paper›PMID 28269865›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2016

Long-Term Impact of an Electronic Health Record-Enabled, Team-Based, and Scalable Population Health Strategy Based on the Chronic Care Model.

Kensaku Kawamoto, Kevin J Anstrom, John B Anderson, Hayden B Bosworth, David F Lobach, Carrie McAdam-Marx, Jeffrey M Ferranti, Howard Shang, Kimberly S H Yarnall

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Delivering person-centered care with an electronic health record.BMC medical informatics and decision making · 2019
    Trial
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kensaku KawamotoDepartments of Biomedical Informatics.
Kevin J AnstromPharmacotherapy, University of Utah, Salt Lake City, Utah.
John B AndersonDepartments of Biostatistics and Bioinformatics.
Hayden B BosworthCommunity and Family Medicine; Medicine.
David F LobachDepartments of Biostatistics and Bioinformatics; Community and Family Medicine.
Carrie McAdam-MarxPsychiatry and Behavioral Sciences.
Jeffrey M FerrantiPediatrics; Duke Health Technology Solutions, Duke University, Durham, NC.
Howard ShangDuke Health Technology Solutions, Duke University, Durham, NC.
Kimberly S H YarnallDepartments of Biostatistics and Bioinformatics.

Funding

Software Leveraging a Standards-Based Web Service Framework for Decision SupportR42LM009051 · NLM · RELIGENT, INC. · PI LOBACH, DAVID F · 2007 to 2009
$1.0M
Software Leveraging a Standards-Based Web Service Framework for Decision SupportR41LM009051 · NLM · RELIGENT, INC. · PI LOBACH, DAVID F · 2006 to 2006
$103k
NLM NIH HHS R41 LM009051NLM NIH HHS R42 LM009051
6 · The paper itself

Abstract

The Chronic Care Model (CCM) is a promising framework for improving population health, but little is known regarding the long-term impact of scalable, informatics-enabled interventions based on this model. To address this challenge, this study evaluated the long-term impact of implementing a scalable, electronic health record (EHR)- enabled, and CCM-based population health program to replace a labor-intensive legacy program in 18 primary care practices. Interventions included point-of-care decision support, quality reporting, team-based care, patient engagement, and provider education. Among 6,768 patients with diabetes receiving care over 4 years, hemoglobin A1c levels remained stable during the 2-year pre-intervention and post-intervention periods (0.03% and 0% increases, respectively), compared to a 0.42% increase expected based on A1c progression observed in the United Kingdom Prospective Diabetes Study long-term outcomes cohort. The results indicate that an EHR-enabled, team- based, and scalable population health strategy based on the CCM may be effective and efficient for managing population health.

Indexed as

Electronic Health RecordsDiabetes MellitusGlycated HemoglobinHumansLong-Term CarePatient Care TeamPoint-of-Care SystemsPrimary Health CareProspective StudiesUnited KingdomGlycated Hemoglobin

Identifiers

PMID28269865
PMCPMC5333318

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.