Gregory D Berg1, Sandeep Wadhwa. 1. Research & Outcomes at McKesson Health Solutions, 335 Interlocken Parkway, Broomfield, CO 80021, USA. greg.berg@mckesson.com
Abstract
OBJECTIVES: To investigate outcomes of a telephonic nursing disease management program for Medicaid patients with diabetes residing in Puerto Rico. STUDY DESIGN: A 12-month, matched-cohort study. STUDY POPULATION: Four hundred and ninety (490) intervention group members matched to 490 controls. INTERVENTION: Disease management diabetes program. For those in the intervention group, the disease management program customized a self-management intervention plan. MAIN OUTCOME MEASURES: Medical service utilization, including hospitalizations, emergency department visits, physician evaluation and management visits, selected clinical indicators, and financial impact. RESULTS: The intervention group showed significant effects compared with the control group, including a 48% reduction in inpatient bed days, and a 23% increase in ACE inhibitor use, resulting in a return on investment estimate of 3.8:1. CONCLUSIONS: The study demonstrates that a nursing disease management program for diabetes can significantly improve hospitalizations, drug compliance, and vaccinations in a Hispanic Medicaid population.
OBJECTIVES: To investigate outcomes of a telephonic nursing disease management program for Medicaid patients with diabetes residing in Puerto Rico. STUDY DESIGN: A 12-month, matched-cohort study. STUDY POPULATION: Four hundred and ninety (490) intervention group members matched to 490 controls. INTERVENTION: Disease management diabetes program. For those in the intervention group, the disease management program customized a self-management intervention plan. MAIN OUTCOME MEASURES: Medical service utilization, including hospitalizations, emergency department visits, physician evaluation and management visits, selected clinical indicators, and financial impact. RESULTS: The intervention group showed significant effects compared with the control group, including a 48% reduction in inpatient bed days, and a 23% increase in ACE inhibitor use, resulting in a return on investment estimate of 3.8:1. CONCLUSIONS: The study demonstrates that a nursing disease management program for diabetes can significantly improve hospitalizations, drug compliance, and vaccinations in a Hispanic Medicaid population.