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Columbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) Project: rationale and design.

Authors
  • Shea, Steven
  • Starren, Justin
  • Weinstock, Ruth S
  • Knudson, Paul E
  • Teresi, Jeanne
  • Holmes, Douglas
  • Palmas, Walter
  • Field, Lesley
  • Goland, Robin
  • Tuck, Catherine
  • Hripcsak, George
  • Capps, Linnea
  • Liss, David
Type
Published Article
Journal
Journal of the American Medical Informatics Association : JAMIA
Publication Date
Jan 01, 2002
Volume
9
Issue
1
Pages
49–62
Identifiers
PMID: 11751803
Source
Medline
License
Unknown

Abstract

The Columbia University Informatics for Diabetes Education and Telemedicine (IDEATel) Project is a four-year demonstration project funded by the Centers for Medicare and Medicaid Services with the overall goals of evaluating the feasibility, acceptability, effectiveness, and cost-effectiveness of telemedicine in the management of older patients with diabetes. The study is designed as a randomized controlled trial and is being conducted by a state-wide consortium in New York. Eligibility requires that participants have diabetes, are Medicare beneficiaries, and reside in federally designated medically underserved areas. A total of 1,500 participants will be randomized, half in New York City and half in other areas of the state. Intervention participants receive a home telemedicine unit that provides synchronous videoconferencing with a project-based nurse, electronic transmission of home fingerstick glucose and blood pressure data, and Web access to a project Web site. End points include glycosylated hemoglobin, blood pressure, and lipid levels; patient satisfaction; health care service utilization; and costs. The project is intended to provide data to help inform regulatory and reimbursement policies for electronically delivered health care services.

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