Colleagues,

New York has introduced mandatory diabetes monitoring. See the following article:

http://msnbc.msn.com/id/10470060/

This is very interesting in lieu of the new 'Future Directions ... National Performance Indicators for Divisions of GP' outcomes framework's requirements re collecting HbA1C data from practices. The new framework sets out following indicator:

"Number and proportion of GPs from whom the Division is receiving electronic patient records to provide feedback for quality improvement in diabetes care."

The rationale is:

"Having access, with patient consent, to patients' clinical data enables the Division to provide targeted feedback to GPs. Aggregated, this information can help guide the Division's work in support of GPs and practices."

Indicator type is: "Quantitative"

Numerator is: "Number of GPs from whom Division is receiving electronic patient records and providing with feedback fro quality improvement in diabetes care."

The New York approach is more direct and seems to intrude on privacy in ways we might see as unacceptable. We have considered the option of obtaining HbA1C data from path providers, with GP & patient consent; from GPs via Cardiab and Argus and we have a working pilot running on this;, and from our local hospital.

Greg
--
Greg Twyford
Information Management & Technology Program Officer
Canterbury Division of General Practice
E-mail: [EMAIL PROTECTED]
Ph.: 02 9787 9033
Fax: 02 9787 9200

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