The Indiana Chronic Disease Management Program

The Indiana Chronic Disease Management Program (ICDMP) is intended to improve the quality and cost-effectiveness of care for Medicaid members with congestive heart failure (chronic heart failure), diabetes, asthma, and other conditions. The ICDMP is being assembled by Indiana Medicaid primarily from...

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Bibliographic Details
Published in:The Milbank quarterly 2006-01, Vol.84 (1), p.135-163
Main Authors: ROSENMAN, MARC B., HOLMES, ANN M., ACKERMANN, RONALD T., MURRAY, MICHAEL D., DOEBBELING, CAROLINE CARNEY, KATZ, BARRY, LI, JINGJIN, ZILLICH, ALAN, PRESCOTT, VICTORIA M., DOWNS, STEPHEN M., INUI, THOMAS S.
Format: Article
Language:English
Subjects:
Chronic Disease - nursing
Chronic diseases
Cooperative Behavior
Cost effectiveness
Cost-Benefit Analysis
Costs and Cost Analysis
Diabetes
Disease Management
Diseases
Health
Health care
Health risk assessment
Humans
Indiana
Information Systems
Managed care
Medicaid
Medical practice
Nurses
Original
Physicians
Physicians, Family
Policy studies
Primary health care
Program Development
quality improvement
Quality of care
Quality of Health Care
Registries
Risk Assessment
Sociology
Sociology of health and medicine
Telemedicine
Telephones
Vendors
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Description
Summary:The Indiana Chronic Disease Management Program (ICDMP) is intended to improve the quality and cost-effectiveness of care for Medicaid members with congestive heart failure (chronic heart failure), diabetes, asthma, and other conditions. The ICDMP is being assembled by Indiana Medicaid primarily from state and local resources and has seven components: (1) identification of eligible participants to create regional registries, (2) risk stratification of eligible participants, (3) nurse care management for high-risk participants, (4) telephonic intervention for all participants, (5) an Internet-based information system, (6) quality improvement collaboratives for primary care practices, and (7) program evaluation. The evaluation involves a randomized controlled trial in two inner-city group practices, as well as a statewide observational design. This article describes the ICDMP, highlights challenges, and discusses approaches to its evaluation.
ISSN:0887-378X
1468-0009
DOI:10.1111/j.1468-0009.2006.00441.x