This tool is an example of our registry decision-making support capabilities. We believe that sustained, significant improvement can not be made without employing registries with similar decision-making support functionality. Each patient who has diabetes and is in our registry will have an individualized yellow visit planner attached to their encounter form. The planned care tool has prompts for front-desk staff to order labs, for nurses to review and perform health maintenance and for providers to assess key medication utilization and make other assessments. Providers can also can also request follow-up from the diabetes team in the comments section.
Information provided on the visit planner is then entered in the registry. Data is collected weekly from returned sheets to assess frequency of assessment by clinic staff when prompted. This information is reported monthly (see Diabetes Monthly Reports) and used to make process improvements. Examples and descriptions of our visit planner are shown below.
Visit Planner 5.0 Samples displaying Front Desk, Nurse and Provider prompts - Visit Planner 5.0
Visit Planner 5.0, back of form displaying the PHQ9 and treatment algorithm based on score - Back of Visit Planner 5.0 with PHQ9
Description and helpful hints for nurses and providers - Diabetes Visit Planner v4.8.9 Description and Helpful Hints
Using the visit planner (for providers) - Visit Planner Usage in the Internal Medicine Clinic