Improving Diabetes Quality of Care:Effectiveness of Physician Profiling and Care Coordination by a Diabetes Resource Nurse

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Improving Diabetes Quality of Care:Effectiveness of Physician Profiling and Care Coordination by a Diabetes Resource Nurse

This study has been completed.

Sponsors and Collaborators: Baylor Research Institute
American Diabetes Association

Information provided by: Baylor Research Institute
ClinicalTrials.gov Identifier: NCT00258674

Purpose
The purpose of this study is to test the effectiveness of physician profiling and care coordination by a diabetes resource nurse in improving the quality of diabetes care.


Condition Intervention Phase
Diabetes Mellitus
Behavioral: Care coordination by a diabetes resource nurse
Behavioral: Physician profiling
Phase III


MedlinePlus related topics: Breast Feeding Diabetes

U.S. FDA Resources

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study

Official Title: A Randomized Trial of Strategies to Improve Diabetes Care: Effectiveness and Costs of Physician Profiling and Care Coordination by a Diabetes Resource Nurse


Further study details as provided by Baylor Research Institute:


Primary Outcome Measures:
Pre-post intervention change in HbA1c level


Secondary Outcome Measures:
Pre-post intervention change in other patient outcomes; Performance of diabetes related processes of care


Study Start Date: January 2000
Estimated Study Completion Date: June 2002

Detailed Description:
HealthTexas Provider Network primary care practices with at least 10 Medicare diabetes patients over the age of 65 were randomized to one of 3 intervention arms: physician feedback of process measures using Medicare claims data (??Claims?±); feedback of Medicare claims data plus clinical measures from medical record abstraction (??Claims+MR?±); or both types of feedback plus a practice-based DRN (??DRN?±). For the 12 months prior to the intervention and 12 months post-intervention, performance data on diabetes related processes of care (annual HbA1c testing, annual LDL cholesterol screening, annual hypertension screening, annual eye, foot, and renal assessment) and patient outcomes (HbA1c level, LDL cholesterol level, blood pressure) were collected from medical record abstraction and Medicare claims data. Pre-post change scores will be compared between intervention arms to examine effectiveness of physician profiling and care coordination by a diabetes resource nurse.

Eligibility
Ages Eligible for Study: 65 Years and older
Genders Eligible for Study: Both
Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

age ?õ 65 years on January 1, 2000
diagnosis of diabetes mellitus
diabetes related visit to HTPN physician within the past year
Resident of Texas
Medicare insurance coverage
Exclusion Criteria:

Patient chart not available for abstraction
Contacts and Locations


Please refer to this study by its ClinicalTrials.gov identifier: NCT00258674

Locations


United States, Texas
Baylor Health Care System Institute for Health Care Research and Improvement
Dallas, Texas, United States


Sponsors and Collaborators


Baylor Research Institute

American Diabetes Association


Investigators


Principal Investigator: David J Ballard, MD, MSPH, PhD, FACP Baylor Health Care System Institute for Health Care Research and Improvement

More Information

Publications of Results:

Hollander P, Nicewander D, Couch C, Winter D, Herrin J, Haydar Z, Ballard DJ. Quality of Care of Medicare Patients With Diabetes in a Metropolitan Fee-for-Service Primary Care Integrated Delivery System. Am J Med Qual. 2005 Nov-Dec;20(6):344-52.



Study ID Numbers: Baylor IRB #000-113
First Received: November 23, 2005
Last Updated: October 4, 2006
ClinicalTrials.gov Identifier: NCT00258674
Health Authority: United States: Institutional Review Board


Keywords provided by Baylor Research Institute:
Diabetes
Care coordination
Case management
Physician profiling


Study placed in the following topic categories:
Metabolic Diseases
Diabetes Mellitus
Endocrinopathy
Metabolic disorder
Glucose Metabolism Disorders


Additional relevant MeSH terms:
Endocrine System Diseases
Nutritional and Metabolic Diseases
Diabetes Mellitus


ClinicalTrials.gov processed this record on June 11, 2008