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	Institution: CLOCKSS  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 3 No. 7, July 1994   Archives  • Online Features Original Contributions  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal Computer-Based vs Manual Health Maintenance Tracking A Controlled Trial Paul S. Frame, MD; James G. Zimmer, MD; Paula L. Werth, MPS; W. Jackson Hall, PhD; Shirley W. Eberly, MS Arch Fam Med. 1994;3(7):581-588. Abstract Objective To compare computer-based with manual health maintenance tracking systems to determine whether (1) a computer-based system will result in better provider compliance with the practice health maintenance protocol, (2) the incremental cost of operating a computer-based vs a manual health maintenance tracking system differs, and (3) inactive patients will respond to health maintenance reminders. Design Two-year prospective, randomized, controlled trial. Setting Rural, multiple-office, nonprofit, fee-forservice family practice. Patients Adult members of families in which at least one member had been seen by the practice within the past 2 years. Intervention A computer-based health maintenance tracking system that generated annual provider and patient reminders for all patients regardless of appointment status compared with a manual flowchart-based tracking system in which patient reminders were triggered by provider request. Outcome Measures Provider compliance with the health maintenance protocol determined by preinter-vention and postintervention chart audits, costs of computer-based tracking, and response of inactive patients to health maintenance reminders. Results Overall provider compliance with the health maintenance protocol increased 15 percentage points in the computer-based tracking group and four percentage points in the manual group. The computer-based tracking group had significantly higher provider compliance than the manual group for eight of 11 procedures. The computer-based tracking system cost 78 cents per patient per year to operate. It was not associated with increased office visits or patient billings. Conclusions Computer-based health maintenance tracking improved provider health maintenance compliance compared with a manual system. The finding that health maintenance compliance improved without a significant increase in patient visits or billings requires confirmation in other settings but suggests that considerable health maintenance can be incorporated into ongoing patient care. Author Affiliations From Tri-County Family Medicine, Dansville, NY (Dr Frame and Ms Werth), and the Departments of Family Medicine (Dr Frame), Community and Preventive Medicine (Drs Frame and Zimmer), and Biostatistics (Dr Hall and Ms Eberly), University of Rochester (NY) School of Medicine and Dentistry. THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES The Development of a Highly Constrained Health Level 7 Implementation Guide to Facilitate Electronic Laboratory Reporting to Ambulatory Electronic Health Record Systems Sujansky et al. J Am Med Inform Assoc 2009;16:285-290. ABSTRACT | FULL TEXT   Computer-Based Documentation: Effects on Parent-Provider Communication During Pediatric Health Maintenance Encounters Johnson et al. 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ABSTRACT   COMPUTER HEALTH-MAINTENANCE TRACKING BOOSTS COMPLIANCE JWatch General 1994;1994:6-6. FULL TEXT   Computer-Assisted Preventive Care: Time to 'Byte' the Bullet? McPhee Arch Fam Med 1994;3:576-578. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1994 American Medical Association. All Rights Reserved.