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Mississippi Diabetes Telehealth Network: A Collaborative Approach to Chronic Care Management
Tearsanee Carlisle Davis1, Kim W Hoover2, Sheila Keller2
1Center for Telehealth, University of Mississippi Medical Center, Jackson, Mississippi.
Summary
Remote patient monitoring via telehealth significantly improved diabetes management in rural Mississippi. The Mississippi Diabetes Telehealth Network showed benefits in hemoglobin A1c and cholesterol levels within 3-4 months.
Area of Science:
- Health Informatics
- Chronic Disease Management
- Rural Health
Background:
- Ineffective chronic illness management in underserved areas increases healthcare costs and reduces quality of life.
- Diabetes affects a significant portion of the adult population in Mississippi (15.4% in 2016).
- Home-based telehealth offers a solution to deliver care teams to patients for illness management.
Purpose of the Study:
- To determine the relationship between the Mississippi Diabetes Telehealth Network clinical care model and diabetes outcomes.
- To evaluate the effectiveness of telehealth in managing diabetes in a rural population.
Main Methods:
- Prospective, longitudinal cohort study over 12 months.
- Included 171 adult patients with diabetes (hemoglobin A1c ≥7.0%) from rural clinics.
- Utilized remote patient monitoring and telehealth for chronic care management.
Main Results:
- Significant improvements observed in hemoglobin A1c (HbA1c) at 3, 6, 9, and 12 months.
- Significant improvements in total cholesterol, LDL, HDL, triglycerides, creatinine clearance, glomerular filtration rate, and potassium from baseline to 12 months.
- No significant changes in weight, blood pressure, BUN, or microalbumin.
Conclusions:
- Remote patient monitoring and telehealth show potential as effective tools for diabetes self-management in rural areas.
- Maximum benefits were observed between 3-4 months and sustained throughout the 12-month study period.
- Telehealth can bridge gaps in care for chronic conditions in underserved populations.
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