What clinical information is required to implement SCCMS?
The main requirement is the documentation of coronary artery disease. The richest source of current, reliable information on patient’s current medical status and their future need for medical services is a hospital summary or ER report. In most cases, fewer than 30 clinical variables are required to establish the patient’s prognosis and inform decisions regarding the patient’s future needs. These data are often found in several sources, including the hospital and ER and the medical records maintained separately by the physicians providing patient care. Some of the most salient data potentially available from patients enrolled in SCCMS is otherwise unavailable in EMR’s maintained by physicians and hospitals. These data concern patients’ day to day clinical status, including symptoms, limitations of activities, medications actually taken, health-related habits and encounters with healthcare providers in disparate locations. The nurse care manager gathers and enters these data, and follow
