Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: UNITED Planned Care for People With Diabetes
Brief Summary: The costs of diabetes care (in health care dollars \& human suffering) in the United States are second only to mental illness. Randomized control trials \& observational studies have shown that glycemic control is predictive of the onset \& severity of complications from diabetes and costs of care. In addition, a significant percentage of costs associated with diabetes can be reduced or delayed by appropriate diagnosis, preventive strategies, \& management. The Planned Care Model (advocated by the Institute for Healthcare Improvement) has shown success in demonstrating improved practice performance and patient outcomes during a limited pilot in our clinical practice. We are proposing to generalize the Planned Care Model, to assess the value of planned care for all people with diabetes. The Planned Care Model will be implemented at each practice site and will consist of a structured communication schema between the patient and the primary health care team, to improve care for people with diabetes. Traditional care will be defined as the traditional system of care for patients prior to their participation in the Planned Care Model. It is hypothesized that this Planned Care Model will improve compliance with appropriate care guidelines and improve short and long term health outcomes (metabolic, satisfaction, morbidity, mortality and healthcare utilization). In conjunction with this study, providers at each of the practice sites will be randomly assigned to a structured communication with specialty care, referred to as UNITED Planned Care (Use of Networks, Informatics, Telemedicine, and Education in Disease Management). This communication schema will only be possible once the assigned provider?s patient is participating in the Planned Care Model. The UNITED Planned Care model will include point-of-care evidence based messages and specialty advice determined by performance gaps and outcomes for the patient. UNITED Planned Care is hypothesized to have the greatest impact on short \& long term health outcomes.


Options:
A: Arm Label: Geriatric diabetes team intervention group; Type: EXPERIMENTAL; Interventions: Other: Intervention for age specific barriers to self care | Arm Label: Attention Control Group; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Intervention for age specific barriers to self care; Assigned to Arm(s): Geriatric diabetes team intervention group
B: Arm Label: close follow-up by nurse; Type: N/A; Interventions: Behavioral: Secondary prevention intervention trial | Arm Label: standard follow up; Type: N/A; Interventions: Behavioral: standard follow up | Intervention Type: BEHAVIORAL; Name: Secondary prevention intervention trial; Assigned to Arm(s): close follow-up by nurse | Intervention Type: BEHAVIORAL; Name: standard follow up; Assigned to Arm(s): standard follow up
C: Intervention Type: BEHAVIORAL; Name: UNITED Planned Care; Assigned to Arm(s): N/A
D: Arm Label: Telemedicine case management; Type: EXPERIMENTAL; Interventions: Device: Telemedicine Unit (HTU) | Arm Label: Usual care; Type: ACTIVE_COMPARATOR; Interventions: Other: usual care | Intervention Type: DEVICE; Name: Telemedicine Unit (HTU); Assigned to Arm(s): Telemedicine case management | Intervention Type: OTHER; Name: usual care; Assigned to Arm(s): Usual care

Answer: C