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The American Journal of Managed Care October 2017
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Statewide Data Infrastructure Supports Population Health Management: Diabetes Case Study
Craig Jones, MD; Mary Kate Mohlman, PhD; David Jorgenson, MS; Karl Finison, MA; Katie McGee, MS; and Hans Kastensmith
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Statewide Data Infrastructure Supports Population Health Management: Diabetes Case Study

Craig Jones, MD; Mary Kate Mohlman, PhD; David Jorgenson, MS; Karl Finison, MA; Katie McGee, MS; and Hans Kastensmith
The use of statewide data infrastructure is effective at identifying criteria for diabetes outreach and management at the whole-population level.
The authors want to acknowledge Vermont’s policy leaders who in 2008, in a bipartisan effort, initiated a health information technology fund and sustainable path for developing state data infrastructure. Those with key roles include Governor Jim Douglas, Secretary of Civil and Military Affairs Heidi Tringe, Secretary of Administration Mike Smith, Director of Healthcare Reform Susan Besio, Chair of Senate Appropriations Susan Bartlett and subsequent Chair of Senate Appropriations Jane Kitchel, Member Senate Health Committee Kevin Mullin, and Chair of House Health Committee Steve Maier. They also want to recognize the vision, leadership, and passion provided by Vermont’s Director for Health Information Technology at the time, their recently deceased and dearly missed friend, Hunt Blair. Most importantly, they want to acknowledge the deep commitment by the clinicians and office staff in Vermont’s patient-centered medical home practices to complete, high quality data. The authors especially want to highlight the work of Laurel Ruggles, Joyce Dobertin, MD, and the providers in St. Johnsbury, Vermont, who worked with the Blueprint on the first data quality “sprint” in Vermont, an effort planned for 4 weeks that took 26. Finally, they want to acknowledge the information technology staff working in Vermont’s hospitals and health centers, who have worked diligently to improve the completeness and quality of clinical data that is being transmitted into VITL’s HIEN and the Blueprint’s registry.

Author Affiliations: Vermont Blueprint for Health, Department of Vermont Health Access (CJ, MKM), Waterbury, VT; Onpoint Health Data (DJ, KF), Portland, ME; Capitol Health Associates (KM, HK), Washington, DC.

Source of Funding: State of Vermont appropriations for Vermont Blueprint for Health annual budget.

Author Disclosures: The authors report no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this article. 

Authorship Information: Concept and design (CJ, DJ, MKM, KF); acquisition of data (CJ, DJ, KF, KM, HK); analysis and interpretation of data (CJ, DJ, MKM, KF, KM, HK); drafting of the manuscript (CJ, MKM, HK); critical revision of the manuscript for important intellectual content (CJ, DJ); statistical analysis (DJ); provision of patients or study materials (CJ); obtaining funding (CJ); administrative, technical, or logistic support (CJ, MKM, KM, HK); and supervision (CJ, KF). 

Address Correspondence to: Mary Kate Mohlman, PhD, Agency of Human Services, 280 State Dr, Waterbury, VT 05671. E-mail:

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