Columbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) Project: rationale and design.
The Columbia University Informatics for Diabetes Education and Telemedicine (IDEATel) Project is a four-year demonstration project funded by the Centers for Medicare and Medicaid Services with the overall goals of evaluating the feasibility, acceptability, effectiveness, and cost-effectiveness of telemedicine in the management of older patients with diabetes. The study is designed as a randomized controlled trial and is being conducted by a state-wide consortium in New York. Eligibility requires that participants have diabetes, are Medicare beneficiaries, and reside in federally designated medically underserved areas. A total of 1,500 participants will be randomized, half in New York City and half in other areas of the state. Intervention participants receive a home telemedicine unit that provides synchronous videoconferencing with a project-based nurse, electronic transmission of home fingerstick glucose and blood pressure data, and Web access to a project Web site. End points include glycosylated hemoglobin, blood pressure, and lipid levels; patient satisfaction; health care service utilization; and costs. The project is intended to provide data to help inform regulatory and reimbursement policies for electronically delivered health care services.
Shea
Steven
S
Columbia University, New York, New York, USA. ss35@columbia.edu
Starren
Justin
J
Weinstock
Ruth S
RS
Knudson
Paul E
PE
Teresi
Jeanne
J
Holmes
Douglas
D
Palmas
Walter
W
Field
Lesley
L
Goland
Robin
R
Tuck
Catherine
C
Hripcsak
George
G
Capps
Linnea
L
Liss
David
D
D019090:Case Management; D003362:Cost-Benefit Analysis; D003658:Decision Making, Computer-Assisted; D003920:Diabetes Mellitus / Q000097:blood / Q000628:therapy*; D005069:Evaluation Studies as Topic; D005240:Feasibility Studies; D006442:Glycated Hemoglobin / Q000032:analysis; D006751:Hospital Information Systems / Q000458:organization & administration; D006801:Humans; D020407:Internet; D009518:New York; D009519:New York City; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D016032:Randomized Controlled Trials as Topic; D012984:Software; D017216:Telemedicine / Q000191:economics / Q000458:organization & administration; D014495:Universities
D006442:Glycated Hemoglobin