All ETDs from UAB

Advisory Committee Chair

Gerald L Glandon

Advisory Committee Members

Jeroan J Allison

Dick D Briggs III

Gary R Cutter

Meredith L Kilgore

Document Type


Date of Award


Degree Name by School

Doctor of Philosophy (PhD) School of Health Professions


OBJECTIVE: Extensive research shows that diabetic care often falls below recommended guidelines. Many believe that Electronic Medical Records (EMR) have the ability to improve quality of care. The primary goal of this study is to evaluate the changes in diabetic care and outcomes pre and post EMR implementation. RESEARCH DESIGN AND METHODS: The study took place at the UAB Huntsville Family Medicine Center. A retrospective chart review was conducted in order to determine the impact of an EMR on diabetes care. This is a natural experiment that uses a pre post model in order to determine impact. Generalized Estimating Equations were used to determine the changes in diabetic care and outcomes pre and post EMR implementation. RESULTS: Order rates for all three tests investigated increased after implementation of the EMR however only the increase in microalbumin orders was statistically significant. Microalbumin tests were 147% more likely to be ordered post EMR implementation and the difference was significant (p



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