Automated Diabetes Registry Tools to Enhance Patient Self-Management and Provider Performance Feedback

NCT00827710 | Completed DMC

• 2 other identifiers: AHRQ 290-2006-000-20AHRQ Contract 290-2006-000-20
• Study Type: interventional
• Target: 5,457
• Locations: 1 country
• Sites: 1

Brief Summary

Can we improve diabetes outcomes through 1) report card mailings to patients 2) point of care distribution of report cards to patients and 3) provider performance feedback with patient level data?

Conditions

Diabetes

Keywords

diabetes; registry; computer; self management

Outcome Measures

Primary Outcomes (3)

• Percent of patients with HgA1c < 7

  january 2009

• Percent of patients with LDL < 100 mg/dL

  january 2009

• Percent of patients with BP < 130/80

  january 2009

Secondary Outcomes (3)

• Percent of patients with A1c checked in last 6 months

  january 2009

• Percent of patients with LDL checked in past year

  january 2009

• Percent of patients with BP checked in past year

  january 2009

Study Arms (4)

1

ACTIVE COMPARATOR

patients who received point-of-care report cards and were listed on provider performance report card

Behavioral: point of care patient report cards; Behavioral: Provider performance report card

2

ACTIVE COMPARATOR

Patients who received point-of-care diabetes report cards but were not listed on provider performance report card

Behavioral: point of care patient report cards

3

ACTIVE COMPARATOR

Patients who did not receive point-of-care report card but who were listed on provider performance report card

Behavioral: Provider performance report card

4

NO INTERVENTION

Patients who did not receive point of care report card and who did were not listed on provider performance report card

Interventions

point of care patient report cards BEHAVIORAL

gives patient feedback on performance on glycemic, lipid, and blood pressure control relative to expert recommended goals

1; 2

Provider performance report card BEHAVIORAL

Gives provider feedback on performance on their diabetes panel of patients and includes patient level data

1; 3

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• icd9 code for diabetes
• primary care visit in the past 18 months
• English or Spanish as primary language

You may not qualify if:

• age more than 75
• No working address

Sponsors & Collaborators

• Denver Health and Hospital Authority: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator

Study Sites (1)

Denver Health Medical Center

Denver, Colorado, 80204, United States

Location

Related Publications (1)

• Fischer HH, Eisert SL, Durfee MJ, Moore SL, Steele AW, McCullen K, Anderson K, Penny L, Mackenzie TD. The impact of tailored diabetes registry report cards on measures of disease control: a nested randomized trial. BMC Med Inform Decis Mak. 2011 Feb 17;11:12. doi: 10.1186/1472-6947-11-12.

  PMID: 21329495 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus

Condition Hierarchy (Ancestors)

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

Study Officials

• henry h fischer, md

  Denver Health and Hospital Authority

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: January 14, 2009
• First Posted: January 23, 2009
• Study Start: December 1, 2007
• Primary Completion: January 1, 2009
• Study Completion: May 1, 2009
• Last Updated: May 1, 2012

Record last verified: 2012-04

Locations

US (1)