An interventional study of point of care patient report cards and Provider performance report card in Diabetes, sponsored by Denver Health and Hospital Authority. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2012-05-01.
Sponsored by Denver Health and Hospital Authority · Not applicable, Interventional, and Health services research
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?
Our federally qualified health care center serves over 7000 diabetic patients, many of whom are uninsured (43%) or on medicaid (18%) or medicare (26%). The population is 54% Latino, 25% Caucasian, and 14% African American. We excluded patients older than 75; those without English or Spanish as a first language; and the homeless. The remaining 5457 patients were randomized to this one-year study which ended January 1, 2009. One-half of the enrolled patients received quarterly mailed report cards on their HgA1c, blood pressure, and lipid performance. They were asked to pick from a list of self-management goals and to see their provider if their last visit was more than 2 months prior to the mailing. In a 2x2 design, our eight clinics were randomized to i) on-site printing of patient report cards or no on-site printing and ii) standard provider performance report cards or enhanced provider report cards. The standard provider report cards included data on provider performance on HgA1c, LDL, and blood pressure compared to other providers. The enhanced provider report card also included a list of up to 10 patients not at HgA1c, LDL, or blood pressure goal. The provider report cards were distributed on a quarterly basis, and the point of care patient report cards were distributed at every clinic visit.
We are analyzing the impact of the intervention on the percent of patients at expert recommended goals for glycemic, lipid, and blood pressure control. We are also performing a qualitative analysis to describe provider and patient attitudes toward the interventions.
10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.
This study's enrollment of 5,457 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.
Browse Diabetes Mellitus studies →Denver Health and Hospital Authority is the lead sponsor of 84 studies on the registry; 4 are open to participants now.
Of its 9 completed or terminated interventional studies of FDA-regulated products, 8 (89%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
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
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
Patients who did not receive point-of-care report card but who were listed on provider performance report card
Behavioral: Provider performance report card
Patients who did not receive point of care report card and who did were not listed on provider performance report card
gives patient feedback on performance on glycemic, lipid, and blood pressure control relative to expert recommended goals
Gives provider feedback on performance on their diabetes panel of patients and includes patient level data
Percent of patients with HgA1c < 7
Time frame: january 2009
Percent of patients with LDL < 100 mg/dL
Time frame: january 2009
Percent of patients with BP < 130/80
Time frame: january 2009
Percent of patients with A1c checked in last 6 months
Time frame: january 2009
Percent of patients with LDL checked in past year
Time frame: january 2009
Percent of patients with BP checked in past year
Time frame: january 2009
This study is completed, as verified in Apr 2012. You cannot join it, but the record below documents what was studied.
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Denver Health and Hospital Authority