Patient Registry

Physician Group Incentive Program (PGIP)

Clinical Information

Technology Initiatives

Patient Registry Initiative

PCMH Capability 2.0

Goal

· Establish a Patient Registry focusing on Diabetes patients; and

· Document use of the patient registry in chronic disease management, particularly diabetic patients.

Objective

· Ensure all JPA PCP practices are reporting at least their diabetic patients into a registry.

Practices should

1. Meet with JPA staff to verify appropriate use of a patient registry; and

2. Work with your practice’s clinical team to improve workflow changes for management of Diabetes.

Resources