title: A Randomized, Controlled Trial of a Shared Panel Management Program for Small Practices.
abstract: OBJECTIVE
  To determine whether a shared panel management program was effective at improving quality of care for patients with uncontrolled chronic disease.
  
  
  METHODS
  Data were extracted from electronic health records.
  
  
  METHODS
  Randomized controlled trial of a panel management program initiated by New York City Department of Health and Mental Hygiene. Patients from 20 practices with an uncontrolled chronic disease and a lapse in care were assigned to the intervention (a phone call requesting that the patient schedule a physician appointment) or usual care. Outcomes were visits to physician practices, body mass index measurement, blood pressure measurement and control, use of antithrombotics, and low-density lipoprotein measurement and control.
  
  
  RESULTS
  Panel managers were able to successfully speak with 1,676 patients (14.7 percent of the intervention group). There were no significant differences in outcomes between the intervention and usual care groups. Successfully contacted patients were more likely to have an office visit within 1 year of randomization (45.6 percent [95 percent CI: 22.8, 26.9] vs. 38.1 percent [95 percent CI: 36.8, 39.3]) and more likely to be on antithrombotics (24.4 percent [95 percent CI: 17.7, 31.0]) versus those in the usual care group (17.0 percent [95 percent CI: 13.9, 20.0]) but had no other difference in quality.
  
  
  CONCLUSIONS
  A shared, low-intensity panel management program run by a city health department did not improve quality of care for patients with chronic illnesses and lapses in care.
authors: Division of Healthcare Policy and Economics, Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY. tlfernan@med.cornell.edu.|Department of Medicine, Weill Cornell Medical College, New York, NY. tlfernan@med.cornell.edu.
authors: Tara F
authors: TF
authors: Bishop
authors: Department of Health Management and Policy, University of Michigan School of Public Health, Anna Arbor, MI.
authors: Andrew M
authors: AM
authors: Ryan
authors: Division of Healthcare Policy and Economics, Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY.
authors: Melinda A
authors: MA
authors: Chen
authors: Boston University, Boston, MA.
authors: Jayme
authors: J
authors: Mendelsohn
authors: Bureau of the Primary Care Information Project, New York City Department of Health and Mental Hygiene, Long Island City, NY.
authors: Daniel
authors: D
authors: Gottlieb
authors: Bureau of the Primary Care Information Project, New York City Department of Health and Mental Hygiene, Long Island City, NY.
authors: Sarah
authors: S
authors: Shih
authors: Smile Train, New York, NY.
authors: Priya
authors: P
authors: Desai
authors: Richmond University Medical Center, Staten Island, NY.
authors: Elizabeth A
authors: EA
authors: Wolff
authors: Division of Healthcare Policy and Economics, Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY.
authors: Lawrence P
authors: LP
authors: Casalino
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D019468:Disease Management; D057286:Electronic Health Records / Q000706:statistics & numerical data; D005260:Female; D006123:Group Practice / Q000458:organization & administration; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D058996:Quality Improvement / Q000458:organization & administration*; D017010:Reminder Systems / Q000706:statistics & numerical data*
keywords: Chronic disease management; disparities in health care; panel management; population management; public health