title: Columbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) Project: rationale and design.
abstract: 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.
authors.affiliation: Columbia University, New York, New York, USA. ss35@columbia.edu
authors.forename: Steven
authors.initials: S
authors.lastname: Shea
authors.forename: Justin
authors.initials: J
authors.lastname: Starren
authors.forename: Ruth S
authors.initials: RS
authors.lastname: Weinstock
authors.forename: Paul E
authors.initials: PE
authors.lastname: Knudson
authors.forename: Jeanne
authors.initials: J
authors.lastname: Teresi
authors.forename: Douglas
authors.initials: D
authors.lastname: Holmes
authors.forename: Walter
authors.initials: W
authors.lastname: Palmas
authors.forename: Lesley
authors.initials: L
authors.lastname: Field
authors.forename: Robin
authors.initials: R
authors.lastname: Goland
authors.forename: Catherine
authors.initials: C
authors.lastname: Tuck
authors.forename: George
authors.initials: G
authors.lastname: Hripcsak
authors.forename: Linnea
authors.initials: L
authors.lastname: Capps
authors.forename: David
authors.initials: D
authors.lastname: Liss
mesh_terms: 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
chemical_list: D006442:Glycated Hemoglobin