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Supporting Practices to Adopt Registry-Based Care (SPARC)

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ClinicalTrials.gov Identifier: NCT02318108
Recruitment Status : Unknown
Verified October 2017 by Jay Crosson, Mathematica Policy Research, Inc..
Recruitment status was:  Active, not recruiting
First Posted : December 17, 2014
Last Update Posted : October 17, 2017
Sponsor:
Collaborator:
Virginia Commonwealth University
Information provided by (Responsible Party):
Jay Crosson, Mathematica Policy Research, Inc.

Brief Summary:
The purpose of this study is to test the effectiveness and cost effectiveness of an assisted work process redesign intervention in achieving improved diabetes care in primary care practices. The strategies that we will test represent a novel method for assisting practices in developing the skills to overcome "clinical inertia" and health care system barriers to improved diabetes care by helping them to implement and use a diabetes registry to identify needed clinical or preventive services an opportunities for treatment intensification where appropriate for their patients with diabetes. This is accomplished by helping practices develop methods for improving the efficiency and effectiveness of clinical care processes through integration of a diabetes registry into regular clinical practice. This integration is accomplished through changes in the work processes in the practice setting to ensure that population health tasks (such as outreach to patients who do not attend scheduled chronic care visits and systematic identification for follow up of patients who may not be taking prescribed medication therapies) become a part of the regular work of clinical support staff and other members of the primary care practice team.

Condition or disease Intervention/treatment Phase
Diabetes Mellitus, Type 2 Other: Mentored organizational change Other: Education only Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Redesigning Diabetes Work Processes for Population-Based Primary Care: Supporting Practices to Adopt Registry-Based Care
Actual Study Start Date : July 2012
Estimated Primary Completion Date : August 2018
Estimated Study Completion Date : August 2018

Arm Intervention/treatment
Experimental: Intervention
Mentored organizational change and feedback.
Other: Mentored organizational change
Practices are given basic education related to population-based care and are supported by physician peer mentors and given feedback on performance.

Education only
Education and feedback.
Other: Education only
Practices are given basic education related to population-based care and are given feedback on performance.




Primary Outcome Measures :
  1. Hemoglobin A1c [ Time Frame: Change in HbA1c from baseline to follow up (year 1 and year 2) ]
    Assessment of HbA1c at baseline and two follow up points. Retrospective documentation of most recent value within previous year.



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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Primary care practice organizations with electronic health records.
  • Located in Virginia

Exclusion Criteria:

  • Not a primary care practice.
  • No electronic health record.
  • Located outside of Virginia.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02318108


Sponsors and Collaborators
Mathematica Policy Research, Inc.
Virginia Commonwealth University
Investigators
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Principal Investigator: Jay Crosson, Ph.D. Mathematica Policy Research
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Jay Crosson, Senior Researcher, Mathematica Policy Research, Inc.
ClinicalTrials.gov Identifier: NCT02318108    
Other Study ID Numbers: 12-323: 1R-01A1
First Posted: December 17, 2014    Key Record Dates
Last Update Posted: October 17, 2017
Last Verified: October 2017
Keywords provided by Jay Crosson, Mathematica Policy Research, Inc.:
Organizational Innovation
Primary Health Care
Additional relevant MeSH terms:
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Diabetes Mellitus, Type 2
Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases