Comparing Diabetes Care Management Models to Improve Primary Care Access


The Queens Health Network (QHN) in New York City has developed disease management programs for its chronically ill patients, reporting measurable success for its diabetic patients. Now QHN is seeking to incorporate care management interventions into its primary care for patients requiring the more intensive one-on-one support of a qualified clinician. This project will evaluate the effectiveness of three care management models for diabetic patients: two models that will employ nurses as care managers and test different levels of engagement by the primary care provider, and one model, staffed by a nurse practitioner, that will test the impact of expanding the care manager's role to conduct additional activities. The study will monitor care utilization, medical costs, and clinical measures, as well as self-management behaviors and outcomes. The model that is most successful could be incorporated in QHN's general approach to treating chronic illness.

Grant Details

Grantee Organization:
Queens Health Network
Principal Investigator:
Rand David, M.D., and Debra Brennessel, M.D.
Award Amount:
Approval Date:
April 12, 2005

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