At a glance
ClinicalIndex Comparison Record- ✓Age 65 years or older as of January 1, 2000
- ✓Diagnosed with diabetes mellitus
- ✓Diabetes-related visit to a HTPN physician within the past year
- ✓Resident of Texas
- ✕Patient chart not available for medical record review and abstraction
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Randomized Trial of Strategies to Improve Diabetes Care: Effectiveness and Costs of Physician Profiling and Care Coordination by a Diabetes Resource Nurse
In Brief
A clinical study evaluating Medicare Claims Feedback, Medical Record Review, and 1 other intervention for Diabetes Mellitus. Completed, enrolled 1,891 participants across 1 site.
Detailed Summary
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.
Study Details
Timeline
Interventions
Physician practices received periodic feedback on their performance on selected diabetes quality of care measures as reflected by the Medicare claims data for their patients.
Physician practices received period feedback on their performance on selected diabetes quality of care measures, as reflected by data collected from their patients' medical records. These data were compiled by trained nurse abstractors using a standardized data collection tool developed for this study.
Diabetes Resource Nurses (DRNs) were registered nurses with 3-5 years of experience as certified diabetes educations who performed initial patient assessments, developed plans of care, administered screening tools, and monitored clinical outcomes. Physicians at the practices randomised to this intervention had could access the DRN's services for their diabetes patients, but neither physicians nor patients had to take advantage of this resource.