an electronic diabetes foot risk calculator
TRANSCRIPT
POSTER PRESENTATION Open Access
An electronic diabetes foot risk calculatorDeborah Schoen1*, David Glance2, Sandeep Aggarwal2, Sandra Thompson1
From Australasian Podiatry Council Conference 2013Sydney, Australia. 2-5 June 2013
BackgroundThe MMEx Diabetes Foot risk calculator was designed inresponse to the WA Department of Health’s High RiskFoot Model of Care to improve the systematic approachto screening and treatment for high risk foot complica-tions and the 2011 National Health and Medical ResearchCouncil’s (NHMRC) National Evidence-Based Guidelineon Prevention, Identification and Management of FootComplications in Diabetes that state, “a solution to thecurrent impasse on the integration of decision supporttools into medical software is needed urgently” and “anytrained health professional can complete a foot risk strati-fication”. Teaching foot assessments is straightforward, butpractitioners have difficulty with risk stratification anddeciding appropriate follow-up and referral.
MethodsThe system has been developed as a collaborationbetween the University of Western Australia’s CombinedUniversities Centre for Rural Health and the Centre forSoftware Practice. The software design was based on theevidence-based foot risk stratification of the NHMRC andincorporated a risk calculator, or electronic decision sup-port, as currently used in cardiovascular risk assessment.
ResultsThe MMEx Diabetes Foot risk calculator is modifiedbased upon input from a number of service providersfrom different disciplines. It is now available in MMEx,a clinical information system for primary care, or fromthe App Store.
ConclusionThe calculator has translated clinically relevant researchinto practice enabling a systematic approach to Medicare
Enhanced Primary Care plans, which includes patientsreceiving foot risk stratification at their first visit. It canimprove time management, Medicare reporting require-ments, clinical planning and communication.
Author details1Combined University Centre for Rural Health (CUCRH), University of WesternAustralia, Perth, WA, 6009, Australia. 2Centre for Software Practice, Universityof Western Australia, Perth, WA, 6009, Australia.
Published: 31 May 2013
doi:10.1186/1757-1146-6-S1-P15Cite this article as: Schoen et al.: An electronic diabetes foot riskcalculator. Journal of Foot and Ankle Research 2013 6(Suppl 1):P15.
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* Correspondence: [email protected] University Centre for Rural Health (CUCRH), University of WesternAustralia, Perth, WA, 6009, AustraliaFull list of author information is available at the end of the article
Schoen et al. Journal of Foot and Ankle Research 2013, 6(Suppl 1):P15http://www.jfootankleres.com/content/6/S1/P15 JOURNAL OF FOOT
AND ANKLE RESEARCH
© 2013 Schoen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction inany medium, provided the original work is properly cited.