CDRM Project Diabetes Management

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CDRM ProjectDiabetes Management

• Stefan Stadler November 2009

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CDRM Goals of the CDRM Project

• Corporate development and testing in clinical
  practice
• Scientific evaluation of economic and medical
  effects
• of an e-health assisted Diabetes Risk Management
  and Monitoring Approach for large scale
  population settings.
• The computer-assisted diabetes risk management
  system (CDRM) combines several different clinical
  and information technology (IT) tools to improve
  diabetes care, patient adherence, and thus
  outcomes in population based disease management
  programs (DMP). Care provider and the patient
  take a centre stage within this approach which
  supports services of health care professionals,
  eases patients dealing with their own disease,
  and enhances the value of diagnostic information
  by improving the integration of different health
  care services. The CDRM Study will scientifically
  evaluate the economic and medical effect of this
  approach.

www.study-on-diabetes-management-systems.de
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CDRM Clinical trial setting

• Prospective, longitudinal CRT designTarget
  population for diabetes management
• Type II diabetes patients (Age 40-70)
• DMP-RSAV Participants
• approx. 1200 patients for 2 yrs
• 24 primary care practicesProject objective
• Clinical proof of effectiveness Intensified
  diabetes risk management in Germany

The study design is registered at the German
Clinical Trials Register ID DRKS00000056
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CDRM Clinical trial Questions

• Among others questions we address
• Are there sgnificant effects? ? Outcomes Costs
• Are there significant demographic differences? ?
  Target groups
• What kind of tools are most significant? ? e.g.
  Risk assessment
• Is there a change in quality of life and patient
  health related behaviour? ? e.g. Amount of blood
  glucose measurments !!!

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CDRM - Cooperation
Industry Partners
ICW AG
GeTeG mbH Co KG
Roche Diagnostics GmbH
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CDRM - Organizational structure

CDRM Project
EthicalRequirements
Project Organisation
Department Name Name Job Title
Department Name Name Job Title
Name Job Title 123-456-7890
Funding /Support
ScientificEvaluation
TelematicTechnology
Diabetes Care
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Business Requirements
on population (DMP) level
Care Organization
Care Providers Patients
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Business Requirements
on case management level
Care Organization
Care Providers Patients
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System Infrastructure
Care OrganisationService
PrintService
ClientNotebook(Browser)
CDRM Tool
Client PC
Technology Provider
Care Provider(GP, Coach etc.)
Computer Centre
Diabetes CareWorkflowProcessing
CDM Diabetes Monitor(Life and Backup Server)
Client PC
PHR Devices
Patient
Study Coordination
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Patient Empowerment via CDRM
Doctor-Patient Communication
Documentparameter progress(BG)
Analyzetrends
Controlparameters
Specifygoals
LaborIntegration
Praxis Integration
KH Integration
Digitale Messgeräte
DiabetesManagementSystem
continuous
1x / 6 months
1x / GP visit
1x / 6 months
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Expected Results of the CDRMIntervention Process
Transparency onHealth Status
Awareness on Risks
Planning andControl
Empowerment
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EbM Knowledge
Risk prognosis included intoday's decision making
Risk
Today
Years
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Milestones, StatusNovember 2009
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• stadler_at_study-on-diabetes-management-systems.de