Chp 9

Question 1

Applying computational thinking, define project goal: In an ambulatory clinic data, we want to identify patients at risk for diabetes mellitus, so we can provide them with lifestyle recommendations to prevent diabetes.

HINT: At risk for diabetes includes age > 45, family history, BMI in overweight or higher, Lab test HbA1C > 5.7 in last year.

HINT: The goal must be more specific, and measurable.

Answer 1

Your Answer:
Primary Goal - To identify patients from the ambulatory clinic database who are:

over 45 years old
with a family history of diabetes
with a BMI that is considered overweight and higher
that have HbA1C test done in the past year with a result higher than 5.7,
Once identified we will provide those patients with the above criteria, with lifestyle recommendations to help prevent diabetes such as applying a good healthy diet with helpful nutrition information and daily exercise tips.

Question 2

Question:

Applying computational thinking, define a project goal for the following: How many patients are poorly managed for hypertension (good blood pressure is less 140/90) in the last year?

Answer 2

Project Goal - Determine the amount of patients with a history of hypertension that in the past year :

have been admitted to ER due to the occurrence of high blood pressure i.e. with systolic levels 150 - 200 (or higher than 140/90)
have not had an annual check up with the clinic or we have not collected vitals from them for the last 18 months.
according to their daily BP log have a higher than 140/90 average documented for longer periods of time (i.e. up to 5-7 days at a time)
according to their daily medication log skips their medication 2-3 days or more at a time.