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Siminerio LM, Piatt GA, Emerson S, et al. Deploying the chronic care model to implement and sustain diabetes self-management training programs. Diabetes Educ. 2006;32(2):253-60doi: 10.1177/0145721706287156.
Siminerio, L. M., Piatt, G. A., Emerson, S., Ruppert, K., Saul, M., Solano, F., Stewart, A., & Zgibor, J. C. (2006). Deploying the chronic care model to implement and sustain diabetes self-management training programs. The Diabetes educator, 32(2), 253-60. https://doi.org/10.1177/0145721706287156
Siminerio, Linda M, et al. "Deploying the chronic care model to implement and sustain diabetes self-management training programs." The Diabetes educator vol. 32,2 (2006): 253-60. doi: https://doi.org/10.1177/0145721706287156
Siminerio LM, Piatt GA, Emerson S, Ruppert K, Saul M, Solano F, Stewart A, Zgibor JC. Deploying the chronic care model to implement and sustain diabetes self-management training programs. Diabetes Educ. 2006 Mar-Apr;32(2):253-60. doi: 10.1177/0145721706287156. PMID: 16554429.
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Diabetes Educ. 2006 Mar-Apr;32(2):253-60. doi: 10.1177/0145721706287156.

Deploying the chronic care model to implement and sustain diabetes self-management training programs.

The Diabetes educator

Linda M Siminerio, Gretchen A Piatt, Sharlene Emerson, Kristine Ruppert, Melissa Saul, Francis Solano, Andrew Stewart, Janice C Zgibor

Affiliations

  1. University of Pittsburgh Diabetes Institute, University of Pittsburgh Medical Center, PA, USA. [email protected]

PMID: 16554429 DOI: 10.1177/0145721706287156

Abstract

PURPOSE: The purpose of this project was to evaluate the utility of using the 6 elements of the chronic care model (CCM; health system, community, decision support, self-management support, clinical information systems, and delivery system design) to implement and financially sustain an effective diabetes self-management training (DSMT) program.

METHODS: The University of Pittsburgh Medical Center (UPMC) uses all elements of the CCM. Partnerships were formed between UPMC and western Pennsylvanian community hospitals and practices; the American Diabetes Association DSMT recognition program provided decision support. A clinical data repository and reorganization of primary care practices aided in supporting DSMT. The following process and patient outcomes were measured: number of recognized programs, reimbursement, patient hemoglobin A1C levels, and the proportion of patients who received DSMT in primary care practices versus hospital-based programs.

RESULTS: Using elements of the CCM, the researchers were able to gain administrative support; expand the number of recognized programs from 3 to 21; cover costs through increased reimbursement; reduce hemoglobin A1C levels (P < .0001), and increase the proportion of patients receiving DSMT through delivery in primary care (26.4% suburban; 19.8% urban) versus hospital-based practices (8.3%; P < .0001).

CONCLUSIONS: The CCM serves as an effective model for implementing and sustaining DSMT programs.

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