Ignite Creation Date:
2024-05-05 @ 12:03 PM
Last Modification Date:
2024-10-26 @ 9:19 AM
Study NCT ID:
NCT00221455
Status:
COMPLETED
Last Update Posted:
2011-07-27
First Post:
2005-09-15
Brief Title:
The Potential of Technology to Improve Chronic Disease Management and Quality of Care
Sponsor:
Robert Wood Johnson Foundation
Organization:
Robert Wood Johnson Foundation
Study Overview
Official Title:
The Potential of Technology to Improve Chronic Disease Management and Quality of Care
Status:
COMPLETED
Status Verified Date:
2011-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
We seek to determine if patient data entry data entered based alerts and data review in a secure patient portal may provide a sustainable approach to improve diabetic outcomes in a cost effective manner We plan to study the extent to which the portal can improve diabetic outcomes and quality of care We recognize however that some patients will be more predisposed to adopting technology and some will be more predisposed to improving their compliance than others Hence we will also develop and test interventions that may improve adoption and compliance The goals of the proposed study are 1 to assess whether a web portal will improve care outcomes in diabetic patients 2a to describe the characteristics of patients whose health behavior improves over the study period 2b to describe the characteristics of patients who adopt the web portal-based disease management technology 3 to develop and test targeted interventions to increase the adoption of the web portal and improve patient health behavior and 4 to monitor the ongoing costs associated with the web portal and patient healthcare resource utilization and to monitor the incremental costs of the interventions designed to improve utilization of the technology and patient compliance with their diabetic regimens
Detailed Description:
To date limited research has been conducted to determine if health information technology HIT is effective in improving the outcomes for patients with chronic diseases Research is required to determine if interventions facilitated by an institutional EMR platform can be implemented such that they support patients with chronic diseases to achieve improved outcomes in a cost effective fashion
At the Cleveland Clinic Foundation CCF an ambulatory EMR has been implemented to foster patient safety and institutional best practice guidelines to facilitate research and to achieve efficiencies in practice management Our EMR is the foundation of the CCF patient portal One of the functions of the portal is to allow patients to enter specific data elements that become part of their permanent medical record Diabetics can enter and review their home glucometer readings and view alert messages based on their entries The entries are transferred to the patients primary care physicians EMR In-Basket for review
We recognize that some patients will be more predisposed to technology adoption and some will be more health behavior compliant than others Therefore in addition to studying our portals efficacy in positive diabetic behavior change we will test if interventions can assist less predisposed and less compliant patients to become more compliant and more inclined to adopt the technology
The goals of the proposed study are
1 to assess whether a web portal will improve care outcomes in diabetic patients 2a to describe the characteristics of patients whose health behavior improves over the study period 2b to describe the characteristics of patients who adopt the web portal-based disease management technology 3 to develop and test targeted interventions to increase the adoption of the web portal and improve patient health behavior 4 to monitor the ongoing costs associated with the web portal and patient healthcare resource utilization and to monitor the incremental costs of the interventions designed to improve utilization of the technology and patient compliance with their diabetic regimens
At the Cleveland Clinic Foundation CCF an ambulatory EMR has been implemented to foster patient safety and institutional best practice guidelines to facilitate research and to achieve efficiencies in practice management Our EMR is the foundation of the CCF patient portal One of the functions of the portal is to allow patients to enter specific data elements that become part of their permanent medical record Diabetics can enter and review their home glucometer readings and view alert messages based on their entries The entries are transferred to the patients primary care physicians EMR In-Basket for review
We recognize that some patients will be more predisposed to technology adoption and some will be more health behavior compliant than others Therefore in addition to studying our portals efficacy in positive diabetic behavior change we will test if interventions can assist less predisposed and less compliant patients to become more compliant and more inclined to adopt the technology
The goals of the proposed study are
1 to assess whether a web portal will improve care outcomes in diabetic patients 2a to describe the characteristics of patients whose health behavior improves over the study period 2b to describe the characteristics of patients who adopt the web portal-based disease management technology 3 to develop and test targeted interventions to increase the adoption of the web portal and improve patient health behavior 4 to monitor the ongoing costs associated with the web portal and patient healthcare resource utilization and to monitor the incremental costs of the interventions designed to improve utilization of the technology and patient compliance with their diabetic regimens
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 51760 | None | None | None |