Abstract
RADAR applies an integrated electronic health record/registry system (CARE platform) and centralized care coordinator (CC) service that supports local healthcare workers in 5 First Nations (FN) communities with providing more pro-active care for 600+clients with diabetes. The CC educates staff on diabetes clinical practice guidelines; ensures clinical information is systematically updated, reviewed and analyzed; conducts regular case conferences to plan and prioritize client follow-up; works to facilitate and strengthen clinical relationships and processes between local health workers and the clients' primary physicians. Here, we describe facilitators and barriers to population diabetes management in these FN communities from the perspective of the CCs.
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