Page 41 - WesternU View - Spring 2015
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The goal is to generate DXDIS scores for

all diabetes patients in Scotland and
provide the health care team access to

those numbers. – Dr. Scott Cunningham “




visualization to improve communication, engagement, self-management, and Scotland and provide the health care team access to those numbers.
shared decision-making,” Pumerantz said. “DXDI has been an integral part of
WDI’s model for delivering team-based, cross-disciplinary diabetes care since “We’re also planning to have the visual representation, the charts that have been
January 2013.” customized for the Scottish environment, available to all patients within the
national system in May,” he said.
The patient-provider team can track health outcome trends across multiple domains
throughout the care cycle, thus building on incentivizing and positive “We’re lucky in Scotland that we have all these data sources and we can use DXDIS
reinforcement. WDI’s predominantly middle-aged, Hispanic, and female cohort has as one of the front-facing ways that we display that data, be that for health care
demonstrated meaningful and sustained improvements in blood glucose control and professionals or potentially patients, and it would give us a nice summary of care,”
patient engagement. Pumerantz and his team believe this change is linked to the Wake said.
patients’ acquiring a deeper knowledge and appreciation of their composite health Through this international collaboration, DXDI may soon expand beyond the U.S.
condition. and Scotland. Dr. Tong Wei Yew, an endocrinologist at the National University


“We’re recognizing the extent and heterogeneity of multimorbidity that exists Hospital, Singapore, is spending a year working as a visiting researcher with Drs.
across this population, and we’re discovering epidemic prevalence rates of silent Wake and Cunningham at Dundee/NHS Tayside. The growing burden of diabetes
severe periodontal and structural heart diseases,” said Pumerantz, an Associate and multimorbidity in Asia has fueled his commitment to explore innovative
Professor of Internal Medicine and Infectious Disease at WesternU’s College of methods of health care delivery that might be used in his country.
Osteopathic Medicine of the Pacific. “To collaborate with the group in Scotland “Diabetes is a huge public health burden. The prevalence of diabetes in Singapore
offers a wonderful opportunity to test the DXDI scorecard on a large-scale is 11.3 percent, more than twice the prevalence in Scotland,” Yew said. “One of the
population managed with the aid of a nationwide disease registry. emphases in delivering diabetes care is patient-centered, integrated care. All these

“Since all health care is local, we needed to adapt the DXDI, which was originally priorities would be very similar to the idea of DXDI, and I think we are moving in a
designed for the U.S. health care system, to fit Scotland’s, and we worked similar direction. I can’t speak for the whole health care system of Singapore, but
collaboratively to develop a modified version that we’re calling ‘Diabetes Cross- the potential of using DXDI is something that we can explore in the future.”
Disciplinary Index Scotland,’ or ‘DXDIS,’” Pumerantz said. “I look forward to that,” Pumerantz said. “Adapting DXDI to multiple global

Since 2002, nationwide data from sources across 14 Scottish health boards has regions brings all of us closer to developing international standardization for
been captured in a central repository, said Dr. Scott Cunningham, technical diabetes care outcomes, and moves knowledge closer to wisdom.”
consultant at University of Dundee/NHS Tayside, and technical lead for SCI-DC and – Rodney Tanaka
MyDiabetesMyWay. The goal is to generate DXDIS scores for all diabetes patients in




One of the emphases in delivering



integrated care. – Dr. Tong Wei Yew

diabetes care is patient-centered, “



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