Transcript CDRM Diabetes Management

CDRM Project
Diabetes Management
Stefan Stadler – November 2009
CDRM – Goals of the CDRM Project
 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
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CDRM – Clinical trial setting
Prospective, longitudinal CRT design
Target population for diabetes management:
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Type II diabetes patients (Age: 40-70)
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DMP-RSAV Participants
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approx. 1200 patients for 2 yrs
•
24 primary care practices
Project objective
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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:
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
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
ICW AG
Roche Diagnostics GmbH
GeTeG mbH Co KG
Scientific
Partners
Phillips-Universität Marburg
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University of Groningen, NL
CDRM - Organizational structure
Project
Organisation
KKS
Marburg
Ethics
Committee
GP network
(Qu@linet)
CDRM Project
Project
Organisation
Ethical
Requirements
InterComponentWare
Marburg University
Funding /
Support
Scientific
Evaluation
Diabetes Care
University Medical
Center Groningen
Telematic
Technology
Roche Diagnostics
GeTeG
Control
Physicians
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Patients
Diabetes
Specialist
Intervention
Physicians
Business Requirements
on population (DMP) level
Hospital
Disease
Management
Care Organization
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Care Providers + Patients
Core Requirements
o Screening
o Communication
o Recruitment
o Monitoring
Business Requirements
on case management level
Core Requirements
o Collection of data
o Analysis and
interpretation of data
o Decision making
o Intervention, therapy
o Monitoring of care
progress
Care Organization
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Care provision
Case Management
Hospital
Care Providers + Patients
System Infrastructure
Postal services
Care Organisation
Service
Analyzed
Information
Client
Notebook
(Browser)
VPN
Access
CDRM Tool
Technology Provider
Care Provider
(GP, Coach etc.)
Data
upload
BG
Data
Patient
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VPN Access
Client PC
Medical
Parameters
Diabetes Care
Workflow
Processing
CDM Diabetes Monitor
PHR + Devices
Print
Service
Data
Monitoring
(Life and Backup Server)
Client PC
Computer Centre
Study Coordination
Patient Empowerment via CDRM
Doctor-Patient Communication
Document
parameter progress
(BG)
DigitaleLabor
Patient
Messgeräte
Integration
continuous
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Analyze
trends
Control
parameters
Praxis
Integration*
DiabetesManagementSystem
Specify
goals
KH
Integration*
Risk Report
Compliance-/
Success Report
Therapy Goals
Therapy Plan
1x / 6 months
1x / GP visit
1x / 6 months
Care
Provider
Expected Results
of the CDRM
Intervention Process
Transparency
on
Health Status
Awareness on Risks
Planning and
Control
Empowerment
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EbM Knowledge
Risk prognosis included in
today's decision making
Risk
Potential
Today
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Years
Milestones, Status
November 2009
1.
4.
2.
Contracts
3. Rollout
Software
Integration
Recruitment
Going Live
Data Measurement
in progress
Roche
ICW AG
GeTeG
ICW AG
Roche
GeTeG (ICW LG)
UNI Marburg
Medical Partners
Marburg
Groningen
Core Actors
Potential
~650
Patients
GPs
~190
Contacts
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Contracts
21
Rollouts
Participants
~260
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Trainings
[email protected]
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