Diabetes registries can be stand-alone applications designed to organize clinical information related to individual patients and populations. Early versions of diabetes registries have evolved into chronic disease registries, and some have interfaces with laboratories or EHRs. The greatest barrier to using the disease registry is the need to manually enter and maintain the data in the registry. Since they are primarily focused on a few selected metrics, advanced reporting is limited. A data warehouse can easily function as a disease registry if appropriate software is associated within the warehouse. There are a number of registries designed to assist providers in the Centers for Medicare & Medicaid Services’ Physician Quality Reporting System (PQRS).
Registry report summary sheets not only present general information, such as medication list and recent labs, but may also include embedded guidelines. For example, the summary sheet may present estimated atherosclerotic cardiovascular disease risk scores and guidance for treatment based on the American Heart Association/American College of Cardiology guidelines. Registry report summary sheets may also display adherence metrics, such as the Medication Refill Accumulation Rate. These key data quickly allow the health care professional to know if the patient is within guidelines, and if not, decision support could provide a point-of-care reminder to intensify treatment or improve adherence to meet the standard.
Learn more about how to use registries to support population management.