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A Randomized, Controlled Trial of a Shared Panel Management Program for Small Practices.

TitleA Randomized, Controlled Trial of a Shared Panel Management Program for Small Practices.
Publication TypeJournal Article
Year of Publication2016
AuthorsBishop TF, Ryan AM, Chen MA, Mendelsohn J, Gottlieb D, Shih S, Desai P, Wolff EA, Casalino LP
JournalHealth Serv Res
Volume51
Issue5
Pagination1796-813
Date Published2016 Oct
ISSN1475-6773
KeywordsChronic Disease, Disease Management, Electronic Health Records, Female, Group Practice, Healthcare Disparities, Humans, Male, Middle Aged, Quality Improvement, Reminder Systems
Abstract

OBJECTIVES: To determine whether a shared panel management program was effective at improving quality of care for patients with uncontrolled chronic disease.

DATA SOURCES: Data were extracted from electronic health records.

STUDY DESIGN: Randomized controlled trial of a panel management program initiated by New York City Department of Health and Mental Hygiene. Patients from 20 practices with an uncontrolled chronic disease and a lapse in care were assigned to the intervention (a phone call requesting that the patient schedule a physician appointment) or usual care. Outcomes were visits to physician practices, body mass index measurement, blood pressure measurement and control, use of antithrombotics, and low-density lipoprotein measurement and control.

PRINCIPAL FINDINGS: Panel managers were able to successfully speak with 1,676 patients (14.7 percent of the intervention group). There were no significant differences in outcomes between the intervention and usual care groups. Successfully contacted patients were more likely to have an office visit within 1 year of randomization (45.6 percent [95 percent CI: 22.8, 26.9] vs. 38.1 percent [95 percent CI: 36.8, 39.3]) and more likely to be on antithrombotics (24.4 percent [95 percent CI: 17.7, 31.0]) versus those in the usual care group (17.0 percent [95 percent CI: 13.9, 20.0]) but had no other difference in quality.

CONCLUSIONS: A shared, low-intensity panel management program run by a city health department did not improve quality of care for patients with chronic illnesses and lapses in care.

DOI10.1111/1475-6773.12455
Alternate JournalHealth Serv Res
PubMed ID26846591
PubMed Central IDPMC5034212
Grant ListK01 HS018546 / HS / AHRQ HHS / United States
K23 AG043499 / AG / NIA NIH HHS / United States
R18 HS018275 / HS / AHRQ HHS / United States
Category: 
Faculty Publication