cdrm project diabetes management stefan stadler – november 2009
TRANSCRIPT
CDRM ProjectDiabetes ManagementStefan Stadler – November 2009
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Corporate development and testing in clinical practice Scientific evaluation of economic and medical effects
of an e-health assisted Diabetes Risk Management and Monitoring Approach for large scale population settings.
The computer-assisted diabetes risk management system (CDRM) combines several different clinical and information technology (IT) tools to improve diabetes care, patient adherence, and thus outcomes in population based disease management programs (DMP). Care provider and the patient take a centre stage within this approach which supports services of health care professionals, eases patients’ dealing with their own disease, and enhances the value of diagnostic information by improving the integration of different health care services. The CDRM Study will scientifically evaluate the economic and medical effect of this approach.
www.study-on-diabetes-management-systems.de
CDRM – Goals of the CDRM Project
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CDRM – Clinical trial setting
Prospective, longitudinal CRT design
Target population for diabetes management:
• Type II diabetes patients (Age: 40-70)
• DMP-RSAV Participants
• approx. 1200 patients for 2 yrs
• 24 primary care practices
Project objective
• Clinical proof of effectiveness: “Intensified diabetes risk management in Germany”
The study design is registered at the German Clinical Trials Register: ID: DRKS00000056
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CDRM – Clinical trial Questions
Among others questions we address:
Are there sgnificant effects? Outcomes + Costs
Are there significant demographic differences? Target groups
What kind of tools are most significant? e.g. Risk assessment
Is there a change in quality of life and patient health related behaviour? e.g. Amount of blood glucose measurments !!!
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CDRM - Cooperation
Industry Partners
Scientific Partners
Phillips-Universität Marburg University of Groningen, NL
ICW AG GeTeG mbH Co KGRoche Diagnostics GmbH
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CDRM - Organizational structure
ProjectOrganisation
ScientificEvaluation
EthicalRequirements
Funding /Support
TelematicTechnologyDiabetes Care
ProjectOrganisation
Marburg University
GeTeG
Roche Diagnostics
ControlPhysicians
Intervention Physicians
InterComponentWare
University Medical Center Groningen
EthicsCommittee
DiabetesSpecialist
GP network(Qu@linet)
CDRM Project
Patients
KKSMarburg
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on population (DMP) level
Care Organization Care Providers + Patients
Business Requirements
Hospital
Disease Management
Core Requirementso Screeningo Communicationo Recruitmento Monitoring
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on case management level
Care Organization Care Providers + Patients
Business Requirements
Care provisionCase Management
Core Requirementso Collection of datao Analysis and
interpretation of datao Decision makingo Intervention, therapyo Monitoring of care
progress
Hospital
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System Infrastructure
Technology ProviderCare Provider
(GP, Coach etc.)
Patient Study CoordinationComputer Centre
PrintService
Postal servicesCare Organisation
Service
AnalyzedInformation
VPN Access
Data Monitoring
Dataupload Diabetes Care
WorkflowProcessing
BGData
ClientNotebook
(Browser) VPNAccess
CDRM Tool
Client PC
Client PCPHR + Devices
CDM Diabetes Monitor(Life and Backup Server)
MedicalParameters
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LaborIntegration
Praxis Integration*
KH Integration*
Digitale Messgeräte
Risk ReportTherapy GoalsTherapy Plan
Compliance-/Success Report
Doctor-Patient Communication Patient Empowerment via CDRM
Patient
Documentparameter progress
(BG)
Analyzetrends
Controlparameters
Specifygoals
continuous 1x / 6 months 1x / GP visit 1x / 6 months
CareProvider
DiabetesManagementSystem
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Expected Resultsof the CDRMIntervention Process
Empowerment
Awareness on Risks
Planning andControl
Transparencyon
Health Status
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EbM KnowledgeRisk prognosis included intoday's decision making
Risk
YearsToday
Potential
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~190 23 21 21
Contacts Contracts Rollouts Trainings
GPs
Medical PartnersMarburg
Groningen
Going LiveData Measurement
4.
in progress
Milestones, StatusNovember 2009
Patients ~650 ~260ParticipantsPotential
Contracts
1.
RocheICW AGGeTeG
Core Actors
SoftwareIntegration
2.
ICW AGRoche
GeTeG (ICW LG) UNI Marburg
RolloutRecruitment
3.
