Table 1 List of the 11 preventive care reminders provided by CDSC web service

1

[Diabetes] AND [no HgbA1c result within last 6 months]

Diabetic patient is overdue for HgbA1c measurement (recommended every 6 months)

• Order HgbA1c now.

2

[Diabetes] AND [last HgbA1C result between 5 and 6 months ago]

Diabetic patient is almost due for HgbA1c measurement (recommended every 6 months)

• Order HgbA1c now.

3

[Diabetes] AND [last HgbA1c result between 3 and 5 months ago] AND [greater than 8%]

Last HgbA1c was greater than 8% and over 3 months ago (recommended every 3 months in poorly controlled patient)

• Order HgbA1c now.

4

[Diabetes] AND [no established renal disease] AND [no microalbumin result in the last 11 months]

Diabetic patient is due for urine microalbumin/creatinine ratio measurement (recommended yearly)

• Order malb/creat ratio now.

5

[Diabetes] AND [chronic renal disease] AND [not ESRD] AND [not taking an ACE-I] AND [not taking an ARB] AND [no contraindication to ACE-I]

Diabetic patient with renal disease, consider starting angiotensin-converting enzyme inhibitor (ACE-I).

• Start ACE-I.

6

[Diabetes] AND [chronic renal disease] AND [not ESRD] AND [not taking an ACE-I] AND [not taking an ARB] AND [contraindication exists to ACE-I] AND [no contraindication to ARB]

Diabetic patient with renal disease, contraindications to ACE-I present, consider starting angiotensin-2 receptor antagonist (ARB).

• Start ARB.

7

[Diabetes] AND [last eye exam over 11 months ago]

Diabetic patient is due for ophthalmologic exam (recommended yearly)

• Document the eye exam.

• Refer to Ophthalmologist.

• Refer to Optometrist.

8

[Diabetes] AND [last foot exam over 11 months ago]

Diabetic patient is due for foot exam (recommended yearly)

• Document the foot exam.

• Refer to Podiatrist.

9

No blood pressure within last 12 months

Patient is overdue for blood pressure assessment (recommended yearly)

• Document the blood pressure.

10

[CAD] AND [not on any antiplatelet medication] AND [contraindication exists to antiplatelet therapy]

Patient has CAD or equivalent, consider starting anti-platelet therapy, but potential contraindications exist.

• Start aspirin.

• Start clopidogrel.

11

[CAD] AND [not on any antiplatelet medication] AND [no contraindication to antiplatelet therapy]

Patient has CAD or equivalent, recommend starting anti-platelet therapy.

• Start aspirin.

• Start clopidogrel.