Implementation of a Population Health Chronic Disease Management Program

Completed

Conditions studied: Diabetes Mellitus, Cardiovascular Diseases, Hypertension

In brief

A pilot program was created by the network's primary care leadership team at Massachusetts General Hospital. A population health management program was implemented for chronic disease management. The investigators evaluated quality of care process and outcome measures over the first six months of the program and compared practices assigned a central population health coordinator to those not assigned this support.

Key facts

Study ID

NCT02812303

Run by

Massachusetts General Hospital

People needed

108000

Starts

2014-07-01

Expected to finish

2014-12-01

Last updated by the study team

2016-06-24

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Diabetes mellitus (type 1 or type 2), or cardiovascular disease (including coronary artery disease, peripheral vascular disease, and cerebrovascular disease), or hypertension
• Breast cancer: women 50-74 years of age
• Cervical cancer: women 21-64 years of age
• Colorectal cancer: men or women 52-75 years of age

You may not qualify if…

• Patients not connected with a specific network physician or practice
• Patients who switched between PHC and non-PHC practices during the follow-up period
• Breast: bilateral mastectomy
• Cervical: total hysterectomy Colorectal: total colectomy

Where it is running

• Massachusetts General Hospital — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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