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Efficacious, low cost, brief cardiovascular interventions
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1
#21835
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$ from middlemen to Pt-Dr. interaction via EHR's as VA VisTa
$ from middlemen to Pt-Dr. interaction via EHR's as VA VisTaâFunding for middlemen like Senior Drug Plan administrators shifted to finance the implementation of customized Public Option focused VA VisTa EMR/EHRâ59C6EF
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VA VisTa's potential to enhance Doctor-Patient interaction »
VA VisTa's potential to enhance Doctor-Patient interaction
VA VisTa's potential to enhance Doctor-Patient interactionâCommercial versions of VA VisTa have the potential for being the EHR for all publically funded patients at a very low cost point.â98CE71
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Supports reminders re low cost Brief Interventions »
Supports reminders re low cost Brief Interventions
Supports reminders re low cost Brief InterventionsâVisTa has a clinical reminder system that can be customized to remind physicians about the applicability of low cost, effective Brief Interventions. Do a PUBMED search: intervention AND brief AND outcome to find efficacious, low cost, brief interventions.â98CE71
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Efficacious, low cost, brief cardiovascular interventions
Efficacious, low cost, brief cardiovascular interventionsââ98CE71
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Chlorthalidone for stroke protection in African Americans »
Chlorthalidone for stroke protection in African Americans
Chlorthalidone for stroke protection in African AmericansâAn African American comes to clinic and is on hydrochlorothiazide as a diuretic for hypertension. VisTa reminds the clinician seeing the patient: The VA ALLHAT study showed that African Americans are protected from having strokes by being on chlorthalidone. Please consider a switch in diuretics.â98CE71
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Chronotherapy for increased 24 hour BP control »
Chronotherapy for increased 24 hour BP control
Chronotherapy for increased 24 hour BP controlâAn African American male comes to clinic on chlorthalidone and an ACE inhibitor, both taken in the am. VisTa reminds the clinician: African American males with controlled blood pressure during the day are very likely to have uncontrolled blood pressure at night. Consider moving the ACE-I to QHS.â98CE71
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Nitroglycerin sustained release caps for angina relief »
Nitroglycerin sustained release caps for angina relief
Nitroglycerin sustained release caps for angina reliefâA patient presents to her physician requiring maximal medical therapy for her CAD. She is on isosorbide mononitrate but is still having angina. VisTa reminds the clinician that sustained release nitroglycerin capsules 2.5 mg po bid might have more clinical efficacy in controlling her angina.â98CE71
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Q i hour po furosemide for enhanced diuresis »
Q i hour po furosemide for enhanced diuresis
Q i hour po furosemide for enhanced diuresisâA 92 yo woman has CHF, edema and SOB on furosemide 60 mg qam. VisTa reminds Dr that constant infusion of furosemide (mimic by giving furosemide 10 mg po q1hr x 6 doses) can effect greater diruresis. Patient returns in 2 wks w/o edema or shortness of breath, having lost 15 lbs.â98CE71
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Simple intervention with NNT of 4 for post-MI patients »
Simple intervention with NNT of 4 for post-MI patients
Simple intervention with NNT of 4 for post-MI patientsâA patient status-post recent MI comes to see her/his physician. VisTa gives NNT data for post-MI patients for the clinicians consideration including an NNT of 4 for saving one life at one year with treatment post-MI with 30 mg po bid of co-enzyme Q-10 in an study from India.â98CE71
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Entrée par:
Charles Beauchamp
NodeID:
#21835
Node type:
SupportiveArgument
Date d'entrée (GMT):
7/6/2009 11:55:00 PM
Date de la derniĂšre modification (Heure GMT):
7/8/2009 3:22:00 AM
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