... Center for Biomedical Informatics, Los Angeles, bLos Angeles County. Department of Public Health, cLos Angeles County Dept of Health Services. Abstract.
GEOCEDRIC: Spatially Enabling an Electronic Chronic Disease Management System for Urban Safety Net Populations Robinson, PL, PhDa, Mukherjee S, MSa, Ogunyemi, O, PhDa, George S, PhDa, Baldwin, S, MD, MPHb, and Dayrit, M., MDc a
Charles Drew University, Center for Biomedical Informatics, Los Angeles, bLos Angeles County Department of Public Health, cLos Angeles County Dept of Health Services.
Abstract We present GeoCEDRIC, an info button based extension to an existing chronic disease registry that uses the patient's residential and/or work address to extract clinically relevant information from the patient's local neighborhood environment and delivers it to the doctor or other health provider at the point of clinical care, in the form of a map and supporting tables detailing the availability and location of specific health related resources. Description of Problem and System Computerized Clinical Decision Support Systems have shown more effectiveness in improving care processes than health outcomes.i This may be due in part to a lack of consideration of external factors that affect a patient's ability to adhere to physician recommended behavior modifications. This poster 1) discusses the need for these consideration of patients local environment, 2) provides a theoretical background for its development and 3) details an example implementation of the GeoCEDRIC exension, using ArcGIS Server (ESRI Inc, Redlands, CA), Microsoft ASP.NET, C# and HTTP messaging (SOAP, REST). Potential current and future applications of this technology are discussed.
Figure 1. Geo-CEDRIC Architecture Diagram
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6 Roshanov PS, Misra S, Gerstein HC, Garg AX, Sebaldt RJ, Mackay JA, Weise-Kelly L, Navarro T, Wilczynski NL, Haynes RB; the CCDSS Systematic Review Team. Computerized clinical decision support systems for chronic disease management: A decision-maker-researcher partnership systematic review. Implement Sci. 2011 Aug 3;6(1):92
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