Supporting Practices to Adopt Registry-Based Care

NCT02318108 | Unknown DMC

• 1 other identifier: 12-323: 1R-01A1
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study is to test the effectiveness and cost effectiveness of an assisted work process redesign intervention in achieving improved diabetes care in primary care practices. The strategies that we will test represent a novel method for assisting practices in developing the skills to overcome "clinical inertia" and health care system barriers to improved diabetes care by helping them to implement and use a diabetes registry to identify needed clinical or preventive services an opportunities for treatment intensification where appropriate for their patients with diabetes. This is accomplished by helping practices develop methods for improving the efficiency and effectiveness of clinical care processes through integration of a diabetes registry into regular clinical practice. This integration is accomplished through changes in the work processes in the practice setting to ensure that population health tasks (such as outreach to patients who do not attend scheduled chronic care visits and systematic identification for follow up of patients who may not be taking prescribed medication therapies) become a part of the regular work of clinical support staff and other members of the primary care practice team.

Conditions

Diabetes Mellitus, Type 2

Keywords

Organizational Innovation; Primary Health Care

Outcome Measures

Primary Outcomes (1)

• Hemoglobin A1c

  Assessment of HbA1c at baseline and two follow up points. Retrospective documentation of most recent value within previous year.

  Change in HbA1c from baseline to follow up (year 1 and year 2)

Study Arms (2)

Intervention

EXPERIMENTAL

Mentored organizational change and feedback.

Other: Mentored organizational change

Education only

OTHER

Education and feedback.

Other: Education only

Interventions

Mentored organizational change OTHER

Practices are given basic education related to population-based care and are supported by physician peer mentors and given feedback on performance.

Intervention

Education only OTHER

Practices are given basic education related to population-based care and are given feedback on performance.

Education only

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Primary care practice organizations with electronic health records.
• Located in Virginia

You may not qualify if:

• Not a primary care practice.
• No electronic health record.
• Located outside of Virginia.

Sponsors & Collaborators

• Mathematica Policy Research, Inc.: lead
• Virginia Commonwealth University: collaborator

Related Publications (3)

• Sabo RT, Etz RS, Gonzalez MM, Johnson NJ, O'Neal JP, Reves SR, Crosson JC. Low-Intensity Intervention Supports Diabetes Registry Implementation: A Cluster-Randomized Trial in the Ambulatory Care Outcomes Research Network (ACORN). J Am Board Fam Med. 2020 Sep-Oct;33(5):728-735. doi: 10.3122/jabfm.2020.05.190455.

  PMID: 32989067 DERIVED

• Keith RE, Crosson JC, O'Malley AS, Cromp D, Taylor EF. Using the Consolidated Framework for Implementation Research (CFIR) to produce actionable findings: a rapid-cycle evaluation approach to improving implementation. Implement Sci. 2017 Feb 10;12(1):15. doi: 10.1186/s13012-017-0550-7.

  PMID: 28187747 DERIVED

• Etz RS, Keith RE, Maternick AM, Stein KL, Sabo RT, Hayes MS, Sevak P, Holland J, Crosson JC. Supporting Practices to Adopt Registry-Based Care (SPARC): protocol for a randomized controlled trial. Implement Sci. 2015 Apr 9;10:46. doi: 10.1186/s13012-015-0232-2.

  PMID: 25885661 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

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

Study Officials

• Jay Crosson, Ph.D.

  Mathematica Policy Research

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: December 10, 2014
• First Posted: December 17, 2014
• Study Start: July 1, 2012
• Primary Completion: August 1, 2018
• Study Completion: August 1, 2018
• Last Updated: October 17, 2017

Record last verified: 2017-10