Continuous Quality Improvement for Diabetes

Phase 2

Completed

• Conditions: Diabetes
• Interventions: Other: introduction of the chronic care model

• Registration Number: NCT00838825
• Lead Sponsor: Santa Clara Valley Health & Hospital System

Brief Summary

The purpose of this study is to compare health care delivery outcomes and costs achieved by two different approaches to health care delivery. The investigators will compare health outcomes for groups of adult patents with diabetes. One group will be managed by our traditional approach to diabetes care. The second group's care delivery is structured according to a design consistent with the Chronic Care Model (CCM).

Detailed Description

The study is comparing the effect of an intervention targeting a subset of the diabetic patients within a primary care practice on the resource utilization of resources and disease outcomes on the entire population of patients with diabetes in that practice. The effect will also be compared across the entire panel of patients assigned to the physicians in the 2 arms of the study.

Study Timeline

• Study Start: 2005-04
• Primary Completion: 2008-03
• Study First Submitted: 2009-02-05
• Study First Submitted QC: 2009-02-05
• Study First Posted: 2009-02-06
• Study Completion: 2011-04
• Status Verified: 2016-05
• Last Update Submitted: 2016-05-06
• Last Update Posted: 2016-05-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 10

Inclusion Criteria

• Primary care physicians practicing in a designated site with > 200 patients assigned to their panel who have been diagnosed with diabetes

Exclusion Criteria

• Refusal to give informed consent

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
care management	introduction of the chronic care model	The care management group is composed of primary care physicians who have been assigned a specific physician extender, the care manager, and an additional medical assistant and form a care manager team working together with registry support, team meetings and instruction in self-management and includes the entire panel of patients assigned to the PCP.

Primary Outcome Measures

Name	Time	Method
resource utilization	baseline compared to 2 years intervention

Secondary Outcome Measures

Name	Time	Method
compliance with process measures	3 years
metabolic outcome	3 years