IMPROVING PERFORMANCE IN DIABETES CARE- BENEFITS OF INFORMATION TECHNOLOGY ENABLED DIABETES MANAGEMENT
Author(s)
Saric T1, Lazic G2, Poljicanin T3, Prenda Trupec T4
1Promeritus savjetovanje, Zagreb, Croatia, 2Private practice family medicine Karlovac, Karlovac, Croatia, 3Croatian National Institute Of Public Health, Zagreb, Croatia, 4Croatian Health Insurance Fund, Zagreb, Croatia
OBJECTIVES Empirical data suggest that compliance with diabetes clinical practice recommendations is inadequate in primary care and that a large proportion of patients with diabetes remain at high risk. Changing physician practice patterns with use of electronic integrated system would provide a suite of technologies to support a full range of diabetes management activities. The objectives of this study are to determine the financial and clinical benefits of implementing information technology enabled diabetes management systems. METHODS The simulations were performed using the CORE model – widely validated and broadly used to enable a reliable estimation of costs and clinical effects associated with diabetes. Several estimates of care process improvements were derived, representing different percentage of patients covered by designed management activities and reaching target HbA1c. The primary outcome was medical cost savings and secondary measures include reduction of cardiovascular, cerebrovascular, neuropathy, nephropathy, and retinopathy clinical outcomes. RESULTS Gradual, sustained, and statistically significant improvements in a lifelong perspective performance measures were observed. According to simulation, as percentage of patients covered by information technology enabled diabetes management is growing, health care expenditures are reduced. With 10% of patients covered 6% of total patient costs were saved in comparison to 23% of total patient costs saved with 100% of patients covered. CONCLUSIONS Implementation of information technology enabled diabetes management has demonstrated significant potential for improving processes of care, preventing the development of diabetic complications, and generating cost savings. Moreover, this improves the synthesis of information, the delivery of knowledge, and the efficiency of communication, allowing for coordination of care across delivery teams.
Conference/Value in Health Info
2014-11, ISPOR Europe 2014, Amsterdam, The Netherlands
Value in Health, Vol. 17, No. 7 (November 2014)
Code
PRM160
Topic
Methodological & Statistical Research
Topic Subcategory
PRO & Related Methods
Disease
Diabetes/Endocrine/Metabolic Disorders