Using Networks, Informatics, Technology, and Education in Care for People With Diabetes

NCT00421850 | Completed

• 1 other identifier: 1938-00
• Study Type: interventional
• Target: 3,491
• Locations: 1 country
• Sites: 1

Brief Summary

The costs of diabetes care (in health care dollars \& human suffering) in the United States are second only to mental illness. Randomized control trials \& observational studies have shown that glycemic control is predictive of the onset \& severity of complications from diabetes and costs of care. In addition, a significant percentage of costs associated with diabetes can be reduced or delayed by appropriate diagnosis, preventive strategies, \& management. The Planned Care Model (advocated by the Institute for Healthcare Improvement) has shown success in demonstrating improved practice performance and patient outcomes during a limited pilot in our clinical practice. We are proposing to generalize the Planned Care Model, to assess the value of planned care for all people with diabetes. The Planned Care Model will be implemented at each practice site and will consist of a structured communication schema between the patient and the primary health care team, to improve care for people with diabetes. Traditional care will be defined as the traditional system of care for patients prior to their participation in the Planned Care Model. It is hypothesized that this Planned Care Model will improve compliance with appropriate care guidelines and improve short and long term health outcomes (metabolic, satisfaction, morbidity, mortality and healthcare utilization). In conjunction with this study, providers at each of the practice sites will be randomly assigned to a structured communication with specialty care, referred to as UNITED Planned Care (Use of Networks, Informatics, Telemedicine, and Education in Disease Management). This communication schema will only be possible once the assigned provider?s patient is participating in the Planned Care Model. The UNITED Planned Care model will include point-of-care evidence based messages and specialty advice determined by performance gaps and outcomes for the patient. UNITED Planned Care is hypothesized to have the greatest impact on short \& long term health outcomes.

Conditions

Diabetes Mellitus

Outcome Measures

Primary Outcomes (5)

• Processes of clinical care for diabetes

• Cardiovascular risk as determined by UKPDS Risk

• Metabolic outcomes (HgbA1c)

• Metabolic outcomes (LDL Cholesterol)

• Metabolic Outcomes (Systolic Blood Pressure)

Secondary Outcomes (2)

• Health Care Utlization and Costs

• Satisfaction (Provider and Health Team)

Interventions

UNITED Planned Care BEHAVIORAL

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All patients in primary care referred to Diabetes Educator

Sponsors & Collaborators

• Mayo Clinic: lead
• Novo Nordisk A/S: collaborator

Study Sites (1)

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

Related Publications (1)

• Smith SA, Shah ND, Bryant SC, Christianson TJ, Bjornsen SS, Giesler PD, Krause K, Erwin PJ, Montori VM; Evidens Research Group. Chronic care model and shared care in diabetes: randomized trial of an electronic decision support system. Mayo Clin Proc. 2008 Jul;83(7):747-57. doi: 10.4065/83.7.747.

  PMID: 18613991 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Study Officials

• Steven A. Smith, M.D.

  Mayo Clinic

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: January 11, 2007
• First Posted: January 12, 2007
• Study Start: July 1, 2001
• Primary Completion: January 1, 2005
• Study Completion: January 1, 2005
• Last Updated: May 23, 2011

Record last verified: 2011-05

Locations

US (1)