Diabetes
Conditions
Keywords
diabetes, quality improvement, community health center, health disparities
Brief summary
The purpose of this study is to determine whether a quality improvement intervention including rapid quality improvement, a chronic care model, and best practices improves diabetes care in community health centers and whether more intensive interventions enhance care further.
Detailed description
In 1998 the Health Resources and Services Administration's Bureau of Primary Health Care began the Health Disparities Collaborative (HDC) to improve chronic disease management in community health centers (HC) nationwide. The HDC incorporates rapid quality improvement (QI), a chronic care model, and best practices. This study determines if the HDC improves diabetes care and whether more intensive interventions with additional learning sessions for health centers, provider training in behavioral change, and patient empowerment materials enhance care further.
Interventions
BEHAVIORALhealth disparities collaborative
The HDC incorporates rapid quality improvement (QI), a chronic care model, and best practices. This study determines if the HDC improves diabetes care and whether more intensive interventions with additional learning sessions for health centers, provider training in behavioral change, and patient empowerment materials enhance care further.
OTHERNo additional educational sessions
Sponsors
Agency for Healthcare Research and Quality (AHRQ)
Robert Wood Johnson Foundation
University of Chicago
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
\- patients with diabetes age 18-75 years
Exclusion criteria
Pregnant women \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| hemoglobin A1c | 4 years | Change in hemoglobin A1c from baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lipid levels | 4 years | Change in Lipid blood levels from baseline |
| Blood pressure | 4 years | Change in BP from baseline |
| Urine microalbumin levels | 4 years | Change in urine micralbumin levels from baseline |
Countries
United States
Outcome results
None listed