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We recently stumbled on something useful. We have recently started

some chronic disease management.To readily identify who has diabetes

prior to the visit we have been printing out a patient summary on

every patient the day before their visit. It was an easy way to plan

ahead who needs what. Our patient summary lists the patient

demographics along with a problem and meds list. Our ma soon

discovered that it was useful to have the patient review this when

they arrive to make sure that their address and insurance information

is accurate. We then noticed that the patient was also reviewing the

diagnosis and meds lists for accuracy. When I saw the patient they

were telling me any meds they had gotten from the specialist that I

didn't know about. We also give a copy of the patient summary to the

patient after the visit to any one who is travelling or anyone who

wants one. I would like to start giving people a flash usb drive with

their summary in pdf format to keep with them on their keychain in

case they end up in the er. We will probably start this next year. By

the way I am finding chronic disease management both rewarding and

disappointing. I love improving the care of my patients but I am

disappointed at myself at all the patients I am discovering that have

fallen through the cracks.

Larry Lindeman MD

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