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Sponsors and Collaborators: |
University of Rochester Robert Wood Johnson Foundation |
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Information provided by: | University of Rochester |
ClinicalTrials.gov Identifier: | NCT00508014 |
We will assess the impact of concurrent peer review vists on blood pressure, cholesterol and diabetes control. Concurrent peer review (CPR) visits refer to special offic visits by patients to a clinician (physician, nurse practitioner, or physician assistant) other than than their primary care provider that are specifically designed to improve care for diabetes and cardiovascular disease.
Condition | Intervention |
---|---|
Cardiovascular Diseases |
Other: Usual Care Behavioral: Active |
Study Type: | Interventional |
Study Design: | Health Services Research, Randomized, Open Label, Active Control, Single Group Assignment, Efficacy Study |
Official Title: | Concurrent Peer Review Visits to Reduce Cardiovascular Risk Factors |
Estimated Enrollment: | 750 |
Study Start Date: | December 2006 |
Estimated Study Completion Date: | November 2008 |
Arms | Assigned Interventions |
---|---|
CONTROL: Active Comparator
usual care
|
Other: Usual Care
Usual Care with primary care provider during time period
|
ACTIVE: Experimental
Receipt of CPR visit
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Behavioral: Active
One CPR visit
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This project aims to reduce racial and ethnic disparities in health care by improving cardiovascular and diabetes management among poor and minority patients. We propose to implement and evaluate an innovative, but practical intervention: CPR visits. CPR visits are designed to minimize competing demands for clinicians and reduce clinical inertia by focusing clinician and patient attention on optimizing cardiovascular and/or diabetes management and disease control and through use of clinician prompts and decision support at the point of care. Following training of clinician staff, CPR visits will be implemented within two sites of a single community health center (Westside Health Services, Inc). Patients will be randomly assigned one CPR visit with a clinician other than their primary care clinician or to usual care. The primary study outcome will include control of hypertension, diabetes, and lipids. Secondary outcomes will include process measures for cardiovascular and diabetes care. Both personnel and data collection infrastructure will build on the existing Health Disparities Collaborative at Westside. A research team from the University of Rochester will assist in the implementation of study design. This team will lead both the quantitative and qualitative evaluation of the project including outcome and process measures. Project findings offer promise for improving care to underserved populations through dissemination and implementation of a feasible strategy among practices caring for the underserved. Findings will be disseminated nationally in conjunction with the Robert Wood Johnson Foundation, the National Association of Community Health Centers, and the National Health Disparities Collaborative and through publication in the peer reviewed literature and presentation at national conferences.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Ellen Volpe, FNP, RN | 585-436-3040 | Ellen_Volpe@urmc.rochester.edu |
Contact: Trish Harren, MA | 585-436-3040 | Tharren@westsidehealth.net |
United States, New York | |
Westside Health Services, Inc | Recruiting |
Rochester, New York, United States, 14611 | |
Principal Investigator: Ellen Volpe, FNP, RN |
Study Director: | Kevin Fiscella, MD, MPH | University of Rochester |
Study ID Numbers: | 59768 |
Study First Received: | July 25, 2007 |
Last Updated: | July 26, 2007 |
ClinicalTrials.gov Identifier: | NCT00508014 |
Health Authority: | United States: Institutional Review Board |
Cardiovascular disease Diabetes Quality improvement Peer review |
Diabetes Mellitus |
Cardiovascular Diseases |