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Research ArticleOriginal Research

A Diabetes Dashboard and Physician Efficiency and Accuracy in Accessing Data Needed for High-Quality Diabetes Care

Richelle J. Koopman, Karl M. Kochendorfer, Joi L. Moore, David R. Mehr, Douglas S. Wakefield, Borchuluun Yadamsuren, Jared S. Coberly, Robin L. Kruse, Bonnie J. Wakefield and Jeffery L. Belden
The Annals of Family Medicine September 2011, 9 (5) 398-405; DOI: https://doi.org/10.1370/afm.1286
Richelle J. Koopman
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  • For correspondence: koopmanr@health.missouri.edu
Karl M. Kochendorfer
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Joi L. Moore
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David R. Mehr
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Douglas S. Wakefield
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Borchuluun Yadamsuren
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Jared S. Coberly
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Robin L. Kruse
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Bonnie J. Wakefield
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Jeffery L. Belden
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  • Figure 1
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    Figure 1

    Diabetes dashboard screen.

  • Figure 2
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    Figure 2

    Actual time on task for Patient A (conventional electronic health record search) and Patient B (dashboard search).

  • Figure 3
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    Figure 3

    Total number of mouse clicks for Patient A (conventional electronic health record search) and Patient B (dashboard search).

  • Figure 4
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    Figure 4

    Number of mouse clicks needed to find each data element.

    Aspirin = daily use of aspirin; BP = value of last blood pressure; Eye = date of last eye examination; Foot = date of last foot examination; Hb = hemoglobin A1c level; LDL = low-density lipoprotein cholesterol level; Smoke = smoking status; Urine = value of last urine microalbumin-creatinine ratio.

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    Table 1

    Ten Diabetes Care Data Elements Used for Physician Searches

    Date of last HbA1c level
    Value of last HbA1c level
    Date of last LDL cholesterol level
    Value of last LDL cholesterol level
    Value of last blood pressure
    Value of last urine microalbumin-creatinine ratio
    Date of last foot examination
    Date of last eye examination
    Smoking status
    Daily use of aspirin
    • HbA1c=hemoglobin A1c; LDL=low-density lipoprotein.

Additional Files

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  • Supplemental Table & Figure

    Supplemental Table 1. EHR Screens Visited to Find Data Elements for Patient A; Supplemental Figure 1. Representative screenshots of screens visited to gather needed data for patient A.

    Files in this Data Supplement:

    • Supplemental data: Table - PDF file, 3 pages, 119 KB
    • Supplemental data: Figure - PDF file, 3 pages, 487 KB
  • The Article in Brief

    A Diabetes Dashboard and Physician Efficacy and Accuracy in Accessing Data Needed for High-Quality Diabetes Care

    Richelle J. Koopman , and colleagues

    Background In order for electronic health records (EHRs) to function as effective patient care tools, improvements are needed in a variety of areas, including ease of obtaining information. This study investigates a new "diabetes dashboard" that summarizes information needed to care for diabetes patients.

    What This Study Found A diabetes dashboard greatly improves the efficiency and accuracy of finding data. Specifically, the study compares the use of a diabetes dashboard screen with use of a conventional approach of viewing multiple electronic health record screens to find 10 data elements needed for ambulatory diabetes care. The mean time to find all elements using the diabetes dashboard is 1.3 minutes vs. 5.5 minutes using the conventional approach. Participating physicians correctly identify 100 percent of the data requested when using the dashboard vs 94 percent when using the conventional method. Moreover, the average number of mouse clicks is 3 with the diabetes dashboard vs 60 using conventional searching.

    Implications

    • The authors suggest that, although tools such as the diabetes dashboard require substantial resources to design and develop, they could reduce costs in the long run by saving physician time and preventing unnecessary tests and medical errors.
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The Annals of Family Medicine: 9 (5)
The Annals of Family Medicine: 9 (5)
Vol. 9, Issue 5
September/October 2011
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A Diabetes Dashboard and Physician Efficiency and Accuracy in Accessing Data Needed for High-Quality Diabetes Care
Richelle J. Koopman, Karl M. Kochendorfer, Joi L. Moore, David R. Mehr, Douglas S. Wakefield, Borchuluun Yadamsuren, Jared S. Coberly, Robin L. Kruse, Bonnie J. Wakefield, Jeffery L. Belden
The Annals of Family Medicine Sep 2011, 9 (5) 398-405; DOI: 10.1370/afm.1286

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A Diabetes Dashboard and Physician Efficiency and Accuracy in Accessing Data Needed for High-Quality Diabetes Care
Richelle J. Koopman, Karl M. Kochendorfer, Joi L. Moore, David R. Mehr, Douglas S. Wakefield, Borchuluun Yadamsuren, Jared S. Coberly, Robin L. Kruse, Bonnie J. Wakefield, Jeffery L. Belden
The Annals of Family Medicine Sep 2011, 9 (5) 398-405; DOI: 10.1370/afm.1286
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