title: The Indiana Chronic Disease Management Program.
abstract: 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.
authors.affiliation: Regenstrief Institute, Indianapolis, IN 46202, USA. mrosenma@iupui.edu
authors.forename: Marc B
authors.initials: MB
authors.lastname: Rosenman
authors.forename: Ann M
authors.initials: AM
authors.lastname: Holmes
authors.forename: Ronald T
authors.initials: RT
authors.lastname: Ackermann
authors.forename: Michael D
authors.initials: MD
authors.lastname: Murray
authors.forename: Caroline Carney
authors.initials: CC
authors.lastname: Doebbeling
authors.forename: Barry
authors.initials: B
authors.lastname: Katz
authors.forename: Jingjin
authors.initials: J
authors.lastname: Li
authors.forename: Alan
authors.initials: A
authors.lastname: Zillich
authors.forename: Victoria M
authors.initials: VM
authors.lastname: Prescott
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Downs
authors.forename: Thomas S
authors.initials: TS
authors.lastname: Inui
mesh_terms: D002908:Chronic Disease / Q000451:nursing*; D003299:Cooperative Behavior; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D019468:Disease Management; D006801:Humans; D007196:Indiana; D007256:Information Systems; D008484:Medicaid; D010821:Physicians, Family; D016730:Program Development; D011787:Quality of Health Care; D012042:Registries; D018570:Risk Assessment; D017216:Telemedicine