Increasing referrals to a YMCA-based diabetes prevention program: Effects of electronic referral system modification and provider education in federally qualified health centers

Earle C. Chambers, Judith Wylie-Rosett, Arthur E. Blank, Judy Ouziel, Nicole Hollingsworth, Rachael W. Riley, Peter A. Selwyn

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Introduction: The Diabetes Prevention Program has been translated to community settings with varying success. Although primary care referrals are used for identifying and enrolling eligible patients in the Diabetes Prevention Program, little is known about the effects of strategies to facilitate and sustain eligible patient referrals using electronic health record systems. Methods: To facilitate and sustain patient referrals, a modification to the electronic health record system was made and combined with provider education in 6 federally qualified health centers in the Bronx, New York. Referral data from April 2012 through November 2014 were analyzed using segmented regression analysis. Results: Patient referrals increased significantly after the modification of the electronic health record system and implementation of the provider education intervention. Before the electronic system modification, 0 to 2 patients were referred per month. During the following year (September 2013 through August 2014), which included the provider education intervention, referrals increased to 1 to 9 per month and continued to increase to 5 to 11 per month from September through November 2014. Conclusions: Modification of an electronic health record system coupled with a provider education intervention shows promise as a strategy to identify and refer eligible patients to community-based Diabetes Prevention Programs. Further refinement of the electronic system for facilitating referrals and follow-up of eligible patients should be explored.

Original languageEnglish (US)
Article number150294
JournalPreventing chronic disease
Volume12
Issue number11
DOIs
StatePublished - 2015

Fingerprint

Referral and Consultation
Electronic Health Records
Education
Health
Primary Health Care
Regression Analysis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy

Cite this

@article{431e67c581bc4940ba90fab65d4ee9f7,
title = "Increasing referrals to a YMCA-based diabetes prevention program: Effects of electronic referral system modification and provider education in federally qualified health centers",
abstract = "Introduction: The Diabetes Prevention Program has been translated to community settings with varying success. Although primary care referrals are used for identifying and enrolling eligible patients in the Diabetes Prevention Program, little is known about the effects of strategies to facilitate and sustain eligible patient referrals using electronic health record systems. Methods: To facilitate and sustain patient referrals, a modification to the electronic health record system was made and combined with provider education in 6 federally qualified health centers in the Bronx, New York. Referral data from April 2012 through November 2014 were analyzed using segmented regression analysis. Results: Patient referrals increased significantly after the modification of the electronic health record system and implementation of the provider education intervention. Before the electronic system modification, 0 to 2 patients were referred per month. During the following year (September 2013 through August 2014), which included the provider education intervention, referrals increased to 1 to 9 per month and continued to increase to 5 to 11 per month from September through November 2014. Conclusions: Modification of an electronic health record system coupled with a provider education intervention shows promise as a strategy to identify and refer eligible patients to community-based Diabetes Prevention Programs. Further refinement of the electronic system for facilitating referrals and follow-up of eligible patients should be explored.",
author = "Chambers, {Earle C.} and Judith Wylie-Rosett and Blank, {Arthur E.} and Judy Ouziel and Nicole Hollingsworth and Riley, {Rachael W.} and Selwyn, {Peter A.}",
year = "2015",
doi = "10.5888/pcd12.150294",
language = "English (US)",
volume = "12",
journal = "Preventing chronic disease",
issn = "1545-1151",
publisher = "U.S. Department of Health and Human Services",
number = "11",

}

TY - JOUR

T1 - Increasing referrals to a YMCA-based diabetes prevention program

T2 - Effects of electronic referral system modification and provider education in federally qualified health centers

AU - Chambers, Earle C.

AU - Wylie-Rosett, Judith

AU - Blank, Arthur E.

AU - Ouziel, Judy

AU - Hollingsworth, Nicole

AU - Riley, Rachael W.

AU - Selwyn, Peter A.

PY - 2015

Y1 - 2015

N2 - Introduction: The Diabetes Prevention Program has been translated to community settings with varying success. Although primary care referrals are used for identifying and enrolling eligible patients in the Diabetes Prevention Program, little is known about the effects of strategies to facilitate and sustain eligible patient referrals using electronic health record systems. Methods: To facilitate and sustain patient referrals, a modification to the electronic health record system was made and combined with provider education in 6 federally qualified health centers in the Bronx, New York. Referral data from April 2012 through November 2014 were analyzed using segmented regression analysis. Results: Patient referrals increased significantly after the modification of the electronic health record system and implementation of the provider education intervention. Before the electronic system modification, 0 to 2 patients were referred per month. During the following year (September 2013 through August 2014), which included the provider education intervention, referrals increased to 1 to 9 per month and continued to increase to 5 to 11 per month from September through November 2014. Conclusions: Modification of an electronic health record system coupled with a provider education intervention shows promise as a strategy to identify and refer eligible patients to community-based Diabetes Prevention Programs. Further refinement of the electronic system for facilitating referrals and follow-up of eligible patients should be explored.

AB - Introduction: The Diabetes Prevention Program has been translated to community settings with varying success. Although primary care referrals are used for identifying and enrolling eligible patients in the Diabetes Prevention Program, little is known about the effects of strategies to facilitate and sustain eligible patient referrals using electronic health record systems. Methods: To facilitate and sustain patient referrals, a modification to the electronic health record system was made and combined with provider education in 6 federally qualified health centers in the Bronx, New York. Referral data from April 2012 through November 2014 were analyzed using segmented regression analysis. Results: Patient referrals increased significantly after the modification of the electronic health record system and implementation of the provider education intervention. Before the electronic system modification, 0 to 2 patients were referred per month. During the following year (September 2013 through August 2014), which included the provider education intervention, referrals increased to 1 to 9 per month and continued to increase to 5 to 11 per month from September through November 2014. Conclusions: Modification of an electronic health record system coupled with a provider education intervention shows promise as a strategy to identify and refer eligible patients to community-based Diabetes Prevention Programs. Further refinement of the electronic system for facilitating referrals and follow-up of eligible patients should be explored.

UR - http://www.scopus.com/inward/record.url?scp=84959010592&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959010592&partnerID=8YFLogxK

U2 - 10.5888/pcd12.150294

DO - 10.5888/pcd12.150294

M3 - Article

C2 - 26542141

AN - SCOPUS:84959010592

VL - 12

JO - Preventing chronic disease

JF - Preventing chronic disease

SN - 1545-1151

IS - 11

M1 - 150294

ER -