A web-based chronic care registry














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Pinnacle Development Group
18 Common Street
Waterville, ME 04901
www.gotopinnacle.com
207-873-7540



Touch Every Life © (TEL) is a chronic care registry with specifications to improve diabetes and asthma care. TEL provides the information support needed to implement elements of the chronic care model in order to improve patient care.

The registry was initially piloted in an internal medicine private practice, and enhancements have been made to facilitate workflow within the offices, including the ability to interface with a central lab to import data electronically. The flow sheet allows for evidence based guidelines to be embedded in the care process and was designed to mirror rather than dictate the flow of the patient/physician interaction.

As payers and employers look to healthcare providers to implement systems of care that provide improved clinical outcomes, TEL has provided the means of moving in that direction. We are hopeful that TEL will give you a “jump-start” in this process, putting you ahead of the curve as payers present opportunities relative to reimbursement and as coalition sponsored quality scoring becomes more prevalent.

We plan to expand the features of TEL to allow for its use with other chronic illnesses.

Benefit from the rich capabilities of TEL, including:
  • Notify patients who are overdue for office visits.
  • Remind physicians and patients about needed care services (e.g. eye exams, foot checks, patient education, and specialty care).
  • Prompt the order and retrieval of tests and screens (e.g. HbA1c, LDL).
  • Track prescription of medications by class (e.g. ACE, ARB, lipid agents) for the conditions.
  • Track and follow-up on test results which are not at goal.
  • Communicate to patients, personal clinical trend data and its relevance.
  • Track and follow up on referrals to relevant specialists for this condition
  • Track your patient population with this condition.
  • Provide your practice with population based (aggregated) process and outcome data on all patients with a specific condition.
  • Compare process and outcome measures within network, group and site to identify best practices.
TEL is a product of Pinnacle Development Group, developers of custom software solutions and providers of training and IT support since 1996. Over the years, Pinnacle has experienced steady growth and now lists many of the region's top companies among its clientele.


Pinnacle Development Group © 2004.