Case Study
Case Study
Transforming Diabetes Care with the Comprehensive Diabetes Management Program at Lanai Community Health Center
Leveraging Telehealth and EMR Integration to Improve Patient Outcomes and Optimize Resources
Executive Summary
About the Client
The Challenge
Problem
Lanai Community Health Center, a nonprofit clinic serving an isolated and underserved rural Hawaiian population, faced serious challenges in managing diabetes and hypertension. Limited staff, fragmented data, and difficulty reaching patients made it hard to monitor chronic conditions and deliver timely care.
Solution
Estenda collaborated with Lanai to implement and refine the Comprehensive Diabetes Management Program (CDMP) — a digital health platform integrating remote patient monitoring, EMR workflows, patient surveys, and real-time data visualization. The solution was tailored to maximize the efficiency of Lanai’s limited resources while encouraging sustained patient engagement.
Impact
The program dramatically improved patient data accuracy, doubled patient participation in monitoring activities, and enabled a 75% reduction in blood pressure misdiagnoses. With more than 1,000 data points collected and integrated into clinical workflows, Lanai significantly elevated the quality of care provided to its rural community. The successful partnership was recognized with the prestigious HIMSS Davies Community Health Award in 2017.
Executive Summary
About the Client
The Challenge
Problem
Lanai Community Health Center, a nonprofit clinic serving an isolated and underserved rural Hawaiian population, faced serious challenges in managing diabetes and hypertension. Limited staff, fragmented data, and difficulty reaching patients made it hard to monitor chronic conditions and deliver timely care.
Solution
Estenda collaborated with Lanai to implement and refine the Comprehensive Diabetes Management Program (CDMP) — a digital health platform integrating remote patient monitoring, EMR workflows, patient surveys, and real-time data visualization. The solution was tailored to maximize the efficiency of Lanai’s limited resources while encouraging sustained patient engagement.
Impact
The program dramatically improved patient data accuracy, doubled patient participation in monitoring activities, and enabled a 75% reduction in blood pressure misdiagnoses. With more than 1,000 data points collected and integrated into clinical workflows, Lanai significantly elevated the quality of care provided to its rural community. The successful partnership was recognized with the prestigious HIMSS Davies Community Health Award in 2017.
Executive Summary
About the Client
The Challenge
Problem
Lanai Community Health Center, a nonprofit clinic serving an isolated and underserved rural Hawaiian population, faced serious challenges in managing diabetes and hypertension. Limited staff, fragmented data, and difficulty reaching patients made it hard to monitor chronic conditions and deliver timely care.
Solution
Estenda collaborated with Lanai to implement and refine the Comprehensive Diabetes Management Program (CDMP) — a digital health platform integrating remote patient monitoring, EMR workflows, patient surveys, and real-time data visualization. The solution was tailored to maximize the efficiency of Lanai’s limited resources while encouraging sustained patient engagement.
Impact
The program dramatically improved patient data accuracy, doubled patient participation in monitoring activities, and enabled a 75% reduction in blood pressure misdiagnoses. With more than 1,000 data points collected and integrated into clinical workflows, Lanai significantly elevated the quality of care provided to its rural community. The successful partnership was recognized with the prestigious HIMSS Davies Community Health Award in 2017.
Our Engagement
01
How We Started
Estenda partnered with Lanai as part of a multi-institutional collaboration that included experts from Joslin Diabetes Center and Walter Reed Army Diabetes Institute, with grant funding from the Department of Defense and NIH. The goal was to co-create a scalable solution that would benefit both patients and providers.
01
How We Started
Estenda partnered with Lanai as part of a multi-institutional collaboration that included experts from Joslin Diabetes Center and Walter Reed Army Diabetes Institute, with grant funding from the Department of Defense and NIH. The goal was to co-create a scalable solution that would benefit both patients and providers.
01
How We Started
Estenda partnered with Lanai as part of a multi-institutional collaboration that included experts from Joslin Diabetes Center and Walter Reed Army Diabetes Institute, with grant funding from the Department of Defense and NIH. The goal was to co-create a scalable solution that would benefit both patients and providers.
02
Project Goals
Enable remote blood pressure and glucose monitoring.
Integrate health data with eClinicalWorks EMR.
Improve patient adherence and reduce manual reporting.
Capture survey data for research and planning.
Optimize clinical workflows in a nonprofit setting.
02
Project Goals
Enable remote blood pressure and glucose monitoring.
Integrate health data with eClinicalWorks EMR.
Improve patient adherence and reduce manual reporting.
Capture survey data for research and planning.
Optimize clinical workflows in a nonprofit setting.
02
Project Goals
Enable remote blood pressure and glucose monitoring.
Integrate health data with eClinicalWorks EMR.
Improve patient adherence and reduce manual reporting.
Capture survey data for research and planning.
Optimize clinical workflows in a nonprofit setting.
03
Collaboration Model
Working closely with Lanai’s leadership and care teams, Estenda adopted an iterative development approach. Frequent feedback loops ensured CDMP enhancements were aligned with evolving clinic needs and the realities of their patient population.
03
Collaboration Model
Working closely with Lanai’s leadership and care teams, Estenda adopted an iterative development approach. Frequent feedback loops ensured CDMP enhancements were aligned with evolving clinic needs and the realities of their patient population.
03
Collaboration Model
Working closely with Lanai’s leadership and care teams, Estenda adopted an iterative development approach. Frequent feedback loops ensured CDMP enhancements were aligned with evolving clinic needs and the realities of their patient population.
The Solution
Technologies Used
Remote monitoring system with Bluetooth-enabled blood pressure cuffs and glucose meters.
Integration with eClinicalWorks EMR for seamless data flow.
Web-based survey collection and reporting.
Video telehealth platform for remote care access.
Real-time data visualization tools for better decision-making.
Remote monitoring system with Bluetooth-enabled blood pressure cuffs and glucose meters.
Integration with eClinicalWorks EMR for seamless data flow.
Web-based survey collection and reporting.
Video telehealth platform for remote care access.
Real-time data visualization tools for better decision-making.
Remote monitoring system with Bluetooth-enabled blood pressure cuffs and glucose meters.
Integration with eClinicalWorks EMR for seamless data flow.
Web-based survey collection and reporting.
Video telehealth platform for remote care access.
Real-time data visualization tools for better decision-making.
Processes implemented
Agile development cycles to refine features.
API integrations to synchronize EMR and CDMP data.
Embedded patient engagement tools to encourage participation.
Agile development cycles to refine features.
API integrations to synchronize EMR and CDMP data.
Embedded patient engagement tools to encourage participation.
Agile development cycles to refine features.
API integrations to synchronize EMR and CDMP data.
Embedded patient engagement tools to encourage participation.
Customization
The CDMP was tailored for Lanai’s unique constraints, allowing patients to automatically submit home monitoring data with minimal effort. From a clinical perspective, the platform enabled instant access to vital trends and facilitated data-driven care planning.
The CDMP was tailored for Lanai’s unique constraints, allowing patients to automatically submit home monitoring data with minimal effort. From a clinical perspective, the platform enabled instant access to vital trends and facilitated data-driven care planning.
The CDMP was tailored for Lanai’s unique constraints, allowing patients to automatically submit home monitoring data with minimal effort. From a clinical perspective, the platform enabled instant access to vital trends and facilitated data-driven care planning.
Challenges Along the Way
Obstacle
Integrating new telehealth tools without disrupting clinic operations.
Solution
Built user-friendly interfaces for patients and staff.
Obstacle
Integrating new telehealth tools without disrupting clinic operations.
Solution
Built user-friendly interfaces for patients and staff.
Obstacle
Integrating new telehealth tools without disrupting clinic operations.
Solution
Built user-friendly interfaces for patients and staff.
Obstacle
Encouraging a rural patient base to adopt new digital workflows.
Solution
Embedded CDMP into existing EMR workflows.
Obstacle
Encouraging a rural patient base to adopt new digital workflows.
Solution
Embedded CDMP into existing EMR workflows.
Obstacle
Encouraging a rural patient base to adopt new digital workflows.
Solution
Embedded CDMP into existing EMR workflows.
Obstacle
Avoiding added burden on clinicians already managing high patient loads.
Solution
Designed workflows that reduced staff burden while increasing data capture, and provided ongoing training and technical support.
Obstacle
Avoiding added burden on clinicians already managing high patient loads.
Solution
Designed workflows that reduced staff burden while increasing data capture, and provided ongoing training and technical support.
Obstacle
Avoiding added burden on clinicians already managing high patient loads.
Solution
Designed workflows that reduced staff burden while increasing data capture, and provided ongoing training and technical support.
Results & Success Metrics
Quantifiable Outcomes
Quantifiable Outcomes
1,000s+ data points collected through remote monitoring.
100% increase in patient participation (from 20 to 40) in home health tracking.
75% reduction in blood pressure misdiagnoses.
Significant reduction in unnecessary in-person visits.
1,000s+ data points collected through remote monitoring.
100% increase in patient participation (from 20 to 40) in home health tracking.
75% reduction in blood pressure misdiagnoses.
Significant reduction in unnecessary in-person visits.
1,000s+ data points collected through remote monitoring.
100% increase in patient participation (from 20 to 40) in home health tracking.
75% reduction in blood pressure misdiagnoses.
Significant reduction in unnecessary in-person visits.
Qualitative Benefits
Qualitative Benefits
Improved clinical confidence through accurate, real-time data.
Higher patient satisfaction due to easier, tech-enabled monitoring.
Enhanced staff efficiency and reduced burnout.
Better positioning for clinical research and funding opportunities.
Improved clinical confidence through accurate, real-time data.
Higher patient satisfaction due to easier, tech-enabled monitoring.
Enhanced staff efficiency and reduced burnout.
Better positioning for clinical research and funding opportunities.
Improved clinical confidence through accurate, real-time data.
Higher patient satisfaction due to easier, tech-enabled monitoring.
Enhanced staff efficiency and reduced burnout.
Better positioning for clinical research and funding opportunities.
Key Takeaways
Why It Matters:
Why It Matters:
This project proves that digital health, when customized to the realities of rural care, can close gaps in chronic disease management. Lanai’s success shows how nonprofits can use integrated technology to transform care quality and access without increasing cost or burden.
This project proves that digital health, when customized to the realities of rural care, can close gaps in chronic disease management. Lanai’s success shows how nonprofits can use integrated technology to transform care quality and access without increasing cost or burden.
This project proves that digital health, when customized to the realities of rural care, can close gaps in chronic disease management. Lanai’s success shows how nonprofits can use integrated technology to transform care quality and access without increasing cost or burden.
Why Estenda:
Why Estenda:
Estenda brings over two decades of experience in health IT, specializing in building collaborative, scalable solutions that fit real-world clinical workflows. Our team’s ability to deliver HIPAA-compliant, EMR-integrated platforms made us the right partner for Lanai’s long-term success.
Estenda brings over two decades of experience in health IT, specializing in building collaborative, scalable solutions that fit real-world clinical workflows. Our team’s ability to deliver HIPAA-compliant, EMR-integrated platforms made us the right partner for Lanai’s long-term success.
Estenda brings over two decades of experience in health IT, specializing in building collaborative, scalable solutions that fit real-world clinical workflows. Our team’s ability to deliver HIPAA-compliant, EMR-integrated platforms made us the right partner for Lanai’s long-term success.
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