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Logo for the Journal of Rehab R&D
Volume 43 Number 1, January/February 2006
Pages 1 — 16

Abstract - Use of medical informatics for management of multiple sclerosis using a chronic-care model

Michael J. Hatzakis Jr, MD;1-3* Craig Allen, MS;1,4 Mark Haselkorn, PhD;1,4 Stephen M. Anderson, MS;1-2 Paul Nichol, MD;1-2,4 Charles Lai, MS;1,4 Jodie K. Haselkorn, MD, MPH1-3,5

1Multiple Sclerosis Center of Excellence West, Veterans Health Administration, Seattle, WA; 2Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA; Departments of 3Rehabilitation Medicine, 4Internal Medicine, 5Epidemiology, University of Washington, Seattle, WA
Abstract — The mission of the Multiple Sclerosis Centers of Excellence (MSCoEs) is to optimize the services veterans with multiple sclerosis (MS) receive across the U.S. Veterans Health Administration. To accomplish this mission, the MSCoE West has adopted a collaborative chronic-disease management strategy along the lines of the model described by Wagner and colleagues. This model describes an organized, integrated, proactive, and population-based approach to patient care that includes healthcare delivery system change and patient-based self-management. While Wagner's model is described independent of information technology, the majority of actions called for in that model benefit tremendously from the application of a powerful and well-integrated informatics infrastructure designed to serve and support populations with chronic disease. Key elements such as goals and actions encourage high-quality care for those with chronic illnesses.
Key words: chronic disease, computerized order entry, computerized physician order entry, delivery of healthcare, health services, medical informatics, multiple sclerosis, physician's practice patterns, practice guidelines, veterans.

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