title: Leveraging the trusted clinician: documenting disease management program enrollment.
abstract: The objective of this study was to test the hypothesis that an integrated disease management (IDM) protocol (patent-pending), which combines telephonic-delivered disease management (TDM) with a worksite-based primary care center and pharmacy delivery, would yield higher contact and enrollment rates than traditional remote disease management alone. IDM is characterized by the combination of standard TDM with a worksite-based primary care and pharmacy delivery protocol led by trusted clinicians. This prospective cohort study tracks contact and enrollment rates for persons assigned to either IDM or traditional TDM protocols, and compares them on contact and enrollment efficiency. The IDM protocol showed a significant improvement in contact and enrollment rates over traditional TDM. Integrating a worksite-based primary care and pharmacy delivery system led by trusted clinicians with traditional TDM increases contact and enrollment rates, resulting in higher patient engagement. The IDM protocol should be adopted by employers seeking higher returns on their investment in disease management programming.
authors.affiliation: CHD Meridian Healthcare, Nashville, Tennessee, USA.
authors.forename: Sharon Glave
authors.initials: SG
authors.lastname: Frazee
authors.forename: Patricia
authors.initials: P
authors.lastname: Kirkpatrick
authors.forename: Raymond
authors.initials: R
authors.lastname: Fabius
authors.forename: Joseph
authors.initials: J
authors.lastname: Chimera
mesh_terms: D000465:Algorithms; D002985:Clinical Protocols; D003376:Counseling / Q000379:methods; D019468:Disease Management; D005260:Female; D006801:Humans; D007345:Insurance Claim Review; D008297:Male; D008875:Middle Aged; D009786:Occupational Health Services / Q000458:organization & administration*; D010593:Pharmaceutical Services / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D011446:Prospective Studies; D013689:Telephone