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The Indiana Chronic Disease Management Program.

Marc B Rosenman1, Ann M Holmes, Ronald T Ackermann

  • 1Regenstrief Institute, Indianapolis, IN 46202, USA. mrosenma@iupui.edu

The Milbank Quarterly
|March 15, 2006
PubMed
Summary
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The Indiana Chronic Disease Management Program (ICDMP) improves care for Medicaid members with chronic conditions like heart failure and diabetes. Evaluation uses randomized trials and observational designs to assess its effectiveness and cost-efficiency.

Area of Science:

  • Health Services Research
  • Public Health
  • Chronic Disease Management

Background:

  • Medicaid members often have multiple chronic conditions requiring coordinated care.
  • Improving the quality and cost-effectiveness of care for these members is a key public health challenge.
  • The Indiana Chronic Disease Management Program (ICDMP) was developed to address these needs.

Purpose of the Study:

  • To describe the structure and components of the ICDMP.
  • To highlight challenges encountered in program implementation.
  • To discuss the methodologies employed for program evaluation.

Main Methods:

  • The ICDMP includes participant identification, risk stratification, nurse care management, telephonic intervention, an information system, quality improvement collaboratives, and program evaluation.

Related Experiment Videos

  • Evaluation utilizes a randomized controlled trial in two urban group practices.
  • A statewide observational design complements the trial for broader assessment.

    • Main Results:

    • The article describes the ICDMP's seven core components.
    • Challenges in program implementation are identified.
    • Approaches to evaluating the program's impact are discussed.

    Conclusions:

    • The ICDMP is a comprehensive initiative aimed at enhancing chronic disease care for Indiana Medicaid members.
    • Rigorous evaluation methods, including RCTs and observational studies, are crucial for assessing program effectiveness.
    • The program's success relies on integrated components and continuous quality improvement.