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RE: DAQ-IT

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,

How are you doing the module in e-mds? It

seems like I will have to load every individual patient, although I have not

yet played much with the program. Let me know what pearls you come up with.

P.S. I have my concerns about collecting

and sending in the data voluntarily. I think to have an idea of how you as a

doc are doing in terms of chronic disease management is cool, but I think

giving it to the insurers too early sets a precedent that we don’t need

to be compensated for the extra time and energy involved in chronic disease

management. Perhaps I’m paranoid, but I wonder if a bunch of us start

sending in the data then it becomes the norm and not the exception and no more

reimbursement is given even though it increases overhead. What are your

thoughts?

Re:

DAQ-IT

Fergusson:

e-Mds has developed DAQ-IT reports for

CMS. I have yet to see real data, but am interested in how to use these

to prospectively manage patients health. The problem is that the data is

based on ICD-9 and specific CPT codes. There is a real gap in actual

patient compliance, results of say lipid pane, and actual last blood

pressure.

I am looking to prospectively manage all my

hypertensive patients, followed by hyperlipidemia, and then diabetes.

Soon I will try to address preventive medicine as well.

Do you think the DAQ-IT information will provide

registry type function for these conditions? Or is the information just a

surrogate for quality care?

Egly, M.D.

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