Continuous Quality Improvement for Diabetes: Unique Care Delivery Design's Effect on Quality of Care and Utilization of Resources
Trial Snapshot
- Phase
- Phase 2
- Status
- Completed
- Enrollment
- 10
- Primary Endpoint
- resource utilization
Study Overview
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 30 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
traditional
The traditional arm is composed of primary care physicians who continue the health care delivery model existing for the 5 years prior to the study. The traditional includes the physician, a pool of resources including random assignment of diabetic educators and includes the entire panel of patients assigned to the PCP.
care management
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.
Intervention: introduction of the chronic care model (Other)
Outcomes
Primary Outcomes
resource utilization
Time Frame: baseline compared to 2 years intervention
Secondary Outcomes
- compliance with process measures(3 years)
- metabolic outcome(3 years)
Investigators
Patrick Kearns
Director, Chronic Care Mangement
Santa Clara Valley Health & Hospital System