Transforming Diabetes Care with the Comprehensive Diabetes Management Program at Lanai Community Health Center
Leveraging Telehealth and EMR Integration to Improve Patient Outcomes and Optimize Resources
Our Engagement
01
How We Started
Estenda partnered with Lanai as part of a multi-institutional collaboration that included experts from Joslin Diabetes Center and Walter Reed Army Diabetes Institute, with grant funding from the Department of Defense and NIH. The goal was to co-create a scalable solution that would benefit both patients and providers.
03
Collaboration Model
Working closely with Lanai’s leadership and care teams, Estenda adopted an iterative development approach. Frequent feedback loops ensured CDMP enhancements were aligned with evolving clinic needs and the realities of their patient population.
The Solution
Technologies Used
Remote monitoring system with Bluetooth-enabled blood pressure cuffs and glucose meters.
Integration with eClinicalWorks EMR for seamless data flow.
Web-based survey collection and reporting.
Video telehealth platform for remote care access.
Real-time data visualization tools for better decision-making.
Processes implemented
Agile development cycles to refine features.
API integrations to synchronize EMR and CDMP data.
Embedded patient engagement tools to encourage participation.
Customization
The CDMP was tailored for Lanai’s unique constraints, allowing patients to automatically submit home monitoring data with minimal effort. From a clinical perspective, the platform enabled instant access to vital trends and facilitated data-driven care planning.
Challenges Along the Way
Obstacle
Integrating new telehealth tools without disrupting clinic operations.
Solution
Built user-friendly interfaces for patients and staff.
Obstacle
Encouraging a rural patient base to adopt new digital workflows.
Solution
Embedded CDMP into existing EMR workflows.
Obstacle
Avoiding added burden on clinicians already managing high patient loads.
Solution
Designed workflows that reduced staff burden while increasing data capture, and provided ongoing training and technical support.
Results & Success Metrics
1,000s+ data points collected through remote monitoring.
100% increase in patient participation (from 20 to 40) in home health tracking.
75% reduction in blood pressure misdiagnoses.
Significant reduction in unnecessary in-person visits.
Improved clinical confidence through accurate, real-time data.
Higher patient satisfaction due to easier, tech-enabled monitoring.
Enhanced staff efficiency and reduced burnout.
Better positioning for clinical research and funding opportunities.
Key Takeaways
This project proves that digital health, when customized to the realities of rural care, can close gaps in chronic disease management. Lanai’s success shows how nonprofits can use integrated technology to transform care quality and access without increasing cost or burden.
Estenda brings over two decades of experience in health IT, specializing in building collaborative, scalable solutions that fit real-world clinical workflows. Our team’s ability to deliver HIPAA-compliant, EMR-integrated platforms made us the right partner for Lanai’s long-term success.
Transform Your Healthcare Delivery with Estenda’s Custom Software and AI Solutions
Whether you’re bringing a new MedTech product to market, optimizing patient care pathways, or conducting groundbreaking research, Estenda’s healthcare technology solutions empower you to deliver measurable impact.