MULTIFIT Computer System Improves Outcomes in Chronic Care

Development of case management system for serious disorders

From 1992 to 1995, staff at Stanford University School of Medicine adapted MULTIFIT—a computer-based case management system initially developed for patients suffering from acute myocardial infarction—to the care of patients with congestive heart failure, diabetes and hypertension.

The project team also tested the adapted system with patients in each disease category.

Key Findings

  • The project demonstrated that it was feasible to adapt the MULTIFIT system for all three chronic illnesses and that nurses could effectively implement the management algorithms.

  • The use of the system with patients in the three disease categories improved both regimen adherence and outcomes.

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