Open Daily: 10am - 10pm | Alley door pickup 10am - 7pm 3038 Hennepin Ave Minneapolis, MN
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  • Open Daily: 10am - 10pm
    Alley-side Pickup: 10am - 7pm

    3038 Hennepin Ave Minneapolis, MN
    612-822-4611

Open Daily: 10am - 10pm | Alley-side Pickup: 10am - 7pm
3038 Hennepin Ave Minneapolis, MN
612-822-4611
From Registry to System: The Evolution of EHR-Supported Care Coordination for Chronic Care Patients in Ambulatory Primary Care

From Registry to System: The Evolution of EHR-Supported Care Coordination for Chronic Care Patients in Ambulatory Primary Care

Moore, Carl

Paperback

Medical Reference

ISBN13: 9798187539130
Publisher: Independently Published
Published: Sep 10 2026
Pages: 110
Weight: 0.35
Height: 0.23 Width: 6.00 Depth: 9.00
Language: English
This monograph examines whether an electronic chronic care registry improved health quality outcomes for diabetes patients in ambulatory primary care. The empirical foundation is a quantitative retrospective study of 329 diabetes patients in a large family medicine practice in the South Carolina midlands, comparing clinical and process measures from 2012, before the registry was in place, with measures from 2015, after nearly three years of use. Analysis by multivariate analysis of variance and paired samples t-tests found no statistically significant improvement in hemoglobin A1c, low-density lipoprotein, systolic blood pressure, or microalbumin. Over the same period, documented diabetic foot examinations rose 513.8 percent and documented dilated retinal eye examinations rose 486.7 percent. Read through Donabedian's structure-process-outcome framework, the chain held from structure to process and broke between process and outcome. This monograph suggests that the registry was a necessary first step and an insufficient one, that the variables mediating between clinical process and patient outcome lie beyond the reach of any single tool, and that the layered model the field assembled around the registry represents its evolving answer to a problem the registry exposed but could not solve.

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