The MGH Lab of Computer Science (LCS), under the leadership of Henry Chueh, MD, and the PHS Information Systems LMR team, under the leadership of Qi Li, MD, have collaborated with the PHS Diabetes Council, as part of Signature Initiative III, to develop and deploy a suite of decision support tools. This is an example of the many decision support tools that will be available through the LMR to support your clinical practice.

LMR users now have access to the OnCall Diabetes Monograph, a patient specific "dashboard" of data and information related to a patient's diabetic condition and care that is aligned with ADA guidelines. It includes vital signs, relevant lab results, medications, allergies, trend graphs against targets for certain data elements, and result-oriented reminders.

In order to access the Diabetes Monograph click on the icon displayed to the right of the diabetes problem on the patient's problem list. The LMR also will contain revised Clinical Reminders and a revised list of Health Maintenance categories to assist you in providing up to date care for your patients. In addition, the LMR Results Manager 2 application will guide you to manage A1c and LDL according to ADA guidelines.

A summary of the ADA Guidelines and LMR clinical support tools follows:

Decision Support Available    Revised Decision Support    NEW OnCall Monograph

Decision Support Tools	ADA GUIDELINES
	HbA1c 2 x Year	HbA1c < 7	Micro- albuminuria Yearly	LDL Yearly	LDL < 100	Dilated Eye Yearly	Aspirin if over 40
LMR Reminders Health Maintenance Results Manager 2			Coming soon				Coming soon
Monograph Patient Summary

See the display below of the New OnCall Monograph - or- Visit http://intranet.partners.org/lmr/ to view an example

Please address monograph questions to David Taylor (dtaylor7@partners.org) and he will assist or direct you to the appropriate person.

© Partners Community HealthCare, Inc. This information is intended for general educational purposes for professional medical personnel only. It is not intended to be relied upon for the treatment of an individual patient without the exercise of independent judgment by a physician.