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- Title
The Indiana Chronic Disease Management Program.
- Authors
ROSENMAN, MARC B.; HOLMES, ANN M.; ACKERMANN, RONALD T.; MURRAY, MICHAEL D.; DOEBBELING, CAROLINE CARNEY; KATZ, BARRY; LI, JINGJIN; ZILLICH, ALAN; PRESCOTT, VICTORIA M.; DOWNS, STEPHEN M.; INUI, THOMAS S.
- Abstract
The Indiana Chronic Disease Management Program (ICDMP) is intended to improve the quality and cost-effectiveness of care for Medicaid members with congestive heart failure (chronic heart failure), diabetes, asthma, and other conditions. The ICDMP is being assembled by Indiana Medicaid primarily from state and local resources and has seven components: (1) identification of eligible participants to create regional registries, (2) risk stratification of eligible participants, (3) nurse care management for high-risk participants, (4) telephonic intervention for all participants, (5) an Internet-based information system, (6) quality improvement collaboratives for primary care practices, and (7) program evaluation. The evaluation involves a randomized controlled trial in two inner-city group practices, as well as a statewide observational design. This article describes the ICDMP, highlights challenges, and discusses approaches to its evaluation.
- Subjects
CHRONIC diseases; MEDICAL care costs; MEDICAID; DISEASE management; NATIONAL health insurance; MEDICARE
- Publication
Milbank Quarterly, 2006, Vol 84, Issue 1, p135
- ISSN
0887-378X
- Publication type
Article
- DOI
10.1111/j.1468-0009.2006.00441.x