| Round 1 Grantees |
| Round 2 Grantees |
| University of Arizona College of Medicine Department of Psychiatry |
| Baylor College of Medicine, Texas |
| Duke University Medical Center, North Carolina |
| East Carolina Health / East Carolina University / Bertie Memorial Hospital, North Carolina |
| Hudson Health Plan, New York |
| Indiana University School of Medicine, Indiana |
| Mobile County Health Department, Alabama |
| The Regents of the University of California-Los Angeles, California |
| University of Pennsylvania, Pennsylvania |
| The University of Texas M. D. Anderson Cancer Center, Houston,Texas |
|
East Carolina Health / East Carolina University / Bertie Memorial Hospital, North Carolina
Bertie Memorial Hospital, Windsor, North Carolina
From left to right: Dr. Doyle “Skip” Cummings, Dr. Nakita Cropper, Paul Bray, Mary Davis, Dr. Amanze Ugoji
Roanoke Chowan Community Health Center
From left to right: Jolynn Harrell, Dr. Doyle “Skip” Cummings, Kim Schwartz, Dr. Colin Jones, Debbie Klingler, Paul Bray, Bonnie Britton
Grantee Name
East Carolina Health / East Carolina University / Bertie Memorial Hospital, North Carolina
Project Title
Redesigning Diabetes Care Delivery in Rural Fee-for-Service Practices
Project Description
While studied in urban managed care sites, typical redesign elements have not been systematically evaluated in fee-for-service rural communities where the incentives for care of underserved minority citizens are markedly different. This project will evaluate the clinical effectiveness and feasibility of an innovative model of redesigned diabetes care for African American patients with historically disparate outcomes. Based on the Chronic Care Model, the redesign components include a circuit rider methodology in which a certified diabetes educator (CDE) nurse, dietitian and CDE qualified pharmacist rotate to clinics and partner with providers during patient visits as care managers. The redesign components also utilize an electronic health record disease registry system with decision support, a four-part American Diabetes Association (ADA) patient curriculum, self-management support interventions, culturally relevant educational tools and community-based follow-up and support services. The study will specifically evaluate the effect of the redesigned model on glycemic control (HbA1c) and other diabetes specific outcome measures, and assess the costs of the intervention.
Contact:
Paul Bray (pbray@pcmh.com)
Website:
http://nc-e-care.com/index.html
Principal Investigators:
Paul Bray, MA, LMFT (University Health Systems-Bertie Memorial Hospital)
Doyle M. "Skip" Cummings, PharmD, FCP, FCCP (Brody School of Medicine, East Carolina University)
Team Members:
Jolynn Harrell, RN, CDE
Amanze Ugoji, MD
Collin Jones, MD
Nakita Cropper, PharmD
Debbie Klingler, RD, CDE
Bonnie Britton, MSN, RN |
