Automated Use of Clinical Laboratory Results in Adults

Benjamin Littenberg, MD, University of Vermont and Vermont Clinical Decision Support, LLC

Friday, May 16, 2008

Spanos Auditorium

Download Audio
MP3 (26 MB)

This seminar is part of the Jones Seminars on Science, Technology, and Society series

Diabetes mellitus is a major and growing source of disability and death in America and across the world. It is highly disruptive to patients, their families, employers and communities and responsible for huge expenses to individuals, insurers, governments and charities. Advances in the management have led to the possibility of controlling the altered physiology of diabetes and preventing the long-term complications that are the source of so much distress. However, optimum management is complicated and difficult for both providers and patients and has been difficult to achieve in most settings. The Vermedx Diabetes Information System accepts clinical laboratory results and uses them in novel ways to support the provider and patient in better adhering to management plans for diabetes. This presentation will describe the design criteria for the system, the system architecture employed, the products generated, and the results of a large scale clinical trial. It will also discuss the use of the resulting database for public health surveillance of diabetes at a population level.

About the Speaker

Dr. Benjamin Littenberg is the Henry and Carleen Tufo Professor of Medicine as well as Professor of Nursing and Director of General Internal Medicine at the University of Vermont. He received his medical degree from Case Western Reserve University and trained in internal medicine at Hartford (Connecticut) Hospital. He was a Robert Wood Johnson Clinical Scholar at Stanford University before becoming Assistant Professor of Medicine at Dartmouth. Following an appointment as Associate Professor of Medicine at Washington University in St. Louis, he assumed his present position in 1999. Dr. Littenberg's research interests center on technology assessment and quality improvement. Recent projects include new ways to measure quality of care in chronic disease, novel strategies for reporting test results to patients, the effect of the built environment on diabetes outcomes, safety improvements in outpatient prescriptions, and strategies to address health literacy. In Vermont, Dr. Littenberg has developed statewide registry-based approaches to quality and safety improvement with the Vermont Breast Cancer Surveillance System and as Principal Investigator of the Vermont Diabetes Information System. He is currently the Director of Education and Career Development and Co-Director of Informatics of the University of Vermont Center for Clinical and Translational Science. He also serves as Chief Executive Officer of Vermont Clinical Decision Support, LLC.