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The SEAHEC practice support team began working with Patrick J. Renton, MD, FAAP, and The Pediatric Center in Wilmington in 2008.

The practice had three physicians who utilized paper charts in the practice. Soon after their involvement with our quality improvement collaborative, the practice utilized our services to implement a web based electronic database called Reach My Doctor. The purpose of the registry was to help the practice track of a number of quality improvement indicators among its asthma patients.

These indicators include whether the child was due for a flu shot, whether the child has had their asthma severity assessed, whether patients were on an asthma controller medication, and whether the patient had been to the ED or had been hospitalized due to an asthma exacerbation.

The goal of this electronic tool was to enter clinical data so that it can be organized in the paper chart, making it easier to provide the necessary asthma care that is due for that patient.

The registry was very successful, showing an improvement in many asthma indicators in the practice’s asthma population. The practice began considering a comprehensive electronic approach to patient care and in the summer of 2012, with the help of practice support services, the practice selected and implemented an electronic health care record (EHR). Within the EHR, registries for a number of chronic pediatric diseases have been created to better manage patient care.

In addition, with AHEC support, the practice successfully participated in pay-for-performance incentives for programs such as Stage 2 Meaningful Use and level three NCQA Patient Centered Medical Home.