The Problem
Diabetes mellitus (DM) affects 12% of adult Americans and is the primary cause of renal failure, non-traumatic amputation, and blindness. A major problem in treatment of a chronic condition is medication adherence, with estimate that patients with DM take only 50% of prescribed drugs.
Our Solution
Using the healthy planet dashboard, we can identify over 900 diabetes patients in the Endocrine Division have uncontrolled blood pressure (greater than 140/90).
Using the healthy planet dashboard in Maestro Care, we launched reporting work bench reports to identify patients with uncontrolled blood pressure, used the bulk messaging feature available in reporting workbench, and offered them the use of the Duke PillBox which is an electronic, interactive pillbox that contains patient medication listed according to time of day.
Impact
Pillbox launched in April 2017. Data collection is ongoing.
- Identified & analyzed baseline population of patients with diabetes and uncontrolled hypertension via Endocrine dashboard
- Designed Epic Smart Phrase with BPA that places Pillbox link in Mychart.
- Designed and created link in MyChart to access Pill Box via SMART on FHIR
- Improved how insulin displayed in PillBox
- Placed Pillbox link to MyChart in Production environment of Maestro Care
- Initiated recruitment via bulk MyChart messaging using the dashboards Endocrine providers
