Dynamic Diffusion Network (DDN) QUERI Program: a quality improvement project to compare strategies for implementing the advanced comprehensive diabetes care program at VA medical centers

Not Applicable

• Conditions: Persistently poorly controlled type 2 diabetes in veterans receiving care in the United States Veterans Health Administration system; Type 2 diabetes mellitus; Nutritional, Metabolic, Endocrine

• Registration Number: ISRCTN91461910
• Lead Sponsor: nited States Department of Veterans Affairs

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-12-19
• Last Update Posted: 28 November 2023
• Study Completion: 2025-09-30

Recruitment & Eligibility

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

Inclusion Criteria

Healthcare facilities with a Home Telehealth Program in the Veterans Health Administration serving Veterans with persistently poorly controlled type 2 diabetes, as indicated by having an HbA1c >/=8.5% despite receipt of clinic-based services or standard telehealth approaches will be randomly assigned as part of this quality improvement evaluation. The work of these facilities will be led by teams of individuals who are:
1. VHA-employed telehealth nurse working in collaboration with a medication manager (e.g. clinical pharmacist, nurse practitioner)
2. Willing and able to deliver the ACDC self-management support modules according to a schedule to Veterans with type 2 diabetes (nurse)
3. Willing and able to receive and review phone encounters for any recommended changes to patient medications (medication manager)
4. Willing and able to be randomly assigned to one of two implementation support conditions (technical assistance or network-based structured implementation facilitation)
5. Willing and able to obtain clinic-level leadership and facility-level leadership support and approval to participate
6. Invited by DDN QUERI staff to participate in the QI program

Exclusion Criteria

Must meet all inclusion criteria noted, including being invited to participate in the QI program by DDN QUERI staff

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Appropriate dose/adherence to the ACDC clinical intervention as determined by nurse-led tracking indicating that a patient completed 80% or more of the intended phone calls and associated modules at the end of the study.