Researchers at the Center for Information Technology Leadership created an analytical model to assess how using information technology (IT) to support diabetes management systems would potentially affect costs, care processes, physiological measures and clinical outcomes.
- All forms of IT-enabled diabetes management improve processes of care, improve physiological measures, prevent development of diabetic complications and generate cost-of-care savings.
- Technologies used by providers seem to be the most effective in improving the lives of patients with diabetes, for example:
- Diabetes registries—which providers use to track patients and their diabetes-specific information—appear to be the most effective of all IT-enabled diabetes management systems:
- Diabetes registries were also the only form of IT-enabled diabetes management that showed a net cost savings after implementation. Scaled to the national level, over a period of 10 years, registries would save $14.5 billion in cost of care. With implementation costs of $6.16 billion, overall net cost savings would be $8.34 billion.
- Integrated provider-patient systems, which add patient-centered technologies to a registry and reminder system, would add benefits beyond a registry alone:
- Although implementation costs were highest for integrated systems, the potential for improved care processes, physiological measures and clinical outcomes far outweighed the other forms of IT-enabled diabetes management.