Telemedicine case management intervention achieved reductions in HgbA1c, LDL-cholesterol, and systolic and diastolic blood pressure levels net of changes over time in the group receiving usual care. No differences were seen between the groups in all-cause mortality. The study population was a large, ethnically diverse sample of elderly Medicare beneficiaries residing in medically underserved areas. This study is unique in the current medical literature due to its duration, large sample size, the inclusion of both rural and urban participants, and the multiple barriers to medical care the participants faced. The IDEATel study provides much needed evidence supporting the effectiveness of telemedicine as a means to deliver long term diabetes care to at risk populations.
The IDEATel Research Consortium includes the following: Columbia University and NewYork-Presbyterian Hospital (New York, NY): Steven Shea, MD, MS, Justin Starren, MD, PhD (current address: Marshfield Clinic Research Foundation (Marshfield, WI), Walter Palmas, MD, MS, Lesley Field, RN, MSN, Robin Goland, MD, Catherine Tuck, MD (deceased), James Cimino, MD, Albert Lai, PhD (current address: the Ohio State University, Columbus, OH), Susana Ebner, MD, Rafael Lantigua, MD, David Kaufman, PhD, Charlyn Hilliman, MPA, PhD, David Liss, Sean Mota, Soumitra Sengupta, PhD, Vimla Patel, PhD, Mohammed Ashraf, Patricia Kringas, RN, Jessica Rivera, RN, Rene Bachmann, RN, CDN, CDE, Vilma Moreno, RN, Christine McGuinness, RN, Iris Fernandez, RN, David Baorto, MD, PhD, Dimitri Borovtsov, Yao Huang, Rajhunathan Kamasmudram, PhD, Khalid Qureshi, Yuri Vayman; Harlem Hospital Center (New York, NY): Linnea Capps, MD; St Luke's-Roosevelt Hospital Center (New York, NY): Alejandro Prigollini, MD; Research Division of the Hebrew Home for the Aged at Riverdale (Bronx, NY): Jeanne A. Teresi, EdD, PhD, Douglas Holmes, PhD (deceased), Stephanie Silver, MPH, Jian Kong, MS, Eva Petkova, PhD, Joseph P. Eimicke, MS, Onie Manzano, BS, Mildred Ramirez, PhD; SUNY Upstate Medical University at Syracuse (Syracuse, NY): Ruth S. Weinstock, MD, PhD, Philip C. Morin, MS, CCRP, Roberto Izquierdo, MD, L. Thomas Wolff, MD, Suzanne Meyer, RN, CDE, Suzan M. Carusone, RN, CCRC, Paul E. Knudson, MD (current address: Medical College of Wisconsin, Milwaukee, WI), Fraser G. Tudiver, MD (current address: E. Tennessee State University, Johnson City, TN), Teresa J. Wagner, MS, Carina Lagua, MA, RD, CDE, Susan Fox, RN, Susan West, RN, MSN, CDE, Laura Ferri, RN, RD, CDCE, JoAnn Shupe, AOS, Donald R. Roller, BS, Joseph Ziemba, MBA, David P. Thomson, MD, Kelly Duncan BSW, CCRC, Sarah Doolittle, BS, CCRC, Joanne Kearns, MA, RD, CDE, Deborah Bowerman, RN, CDE, Pamela Suddaby, RN, BS, Kristine M. Brindak, RN, Paula Trief, PhD, Julia Morina, RD; A. L. Lee Memorial Hospital, Inc (Fulton, NY): Shirley Seabury, MHA; Arnot Ogden Medical Center (Elmira, NY): John F. Carroll, MD, MBA, Frederic P. Skinner, MD, PhD, Terri L. Ennis, RN; Bassett Healthcare (Cooperstown, NY): Kathleen Sellers, RN, PhD, Barbara Leo, BA, BS, RN, Elsie Haus, MEd, FNP, Megan Wood, MS, RN, Barbara Gibbons, MS, RN, Catherine Cooney, BS, MA, RN; Delaware Valley Hospital (Walton, NY): Michael J. Freeman, DO, MPH; Family Health Network of Central New York, Inc (Cortland, NY): Susan Ulrich, MS, RN, CPNP; Guthrie Healthcare System (Sayre, PA): Brian D. Cassetta, MD; Hudson Headwaters Health Network (Glens Falls, NY): Paul Bachman, MD, Patricia Auer, MSN, FNP, W. Emily Hammond, AAS, RN, Cairenn L. Young, MSW, Mary M. Beadnell, LPN; Lourdes Hospital (Binghamton, NY): Timothy C. Howland, MD; Olean General Hospital (Olean, NY): Robert Catalano, MD, Galvin Anderson, MD, Terri N. Kolasinski, RN; Samaritan Medical Center (Watertown, NY): Anil Shah, MD, Kate R. Fraczek, RN, Terry Flynt, BSN, RN, Julie Stone, RN; State University of New York at Buffalo (Buffalo, NY): John Taylor, MBA, Lurene R. Tumiel, PhD, Marc Shilling, MA, MPA, Chester Fox, MD; United Health Services (Binghamton, NY): David Kwiatkowski, MD; American Telecare, Inc (Eden Prairie, MN): Randall S. Moore, MD, MBA, C.R. Abbruscato, MSEE, Karen Boril.
Dr. Jeanne A. Teresi had access to all the study data and takes responsibility for the statistical analyses.
Role of the Funding Source
The funding agency had the opportunity to comment on the paper before submission but did not participate in the analysis of the data or the writing of the paper. The inferences, conclusions, and opinions expressed in the paper are those of the authors and do not represent the position of CMS.
Funding and Research Support in Previous 5 Years
Steven Shea, MD, MS: Centers for Medicare and Medicaid Services (CMS), National Heart, Lung, and Blood Institute (NHLBI), National Institute on Aging (NIA), National Library of Medicine (NLM), National Center on Minority Health and Health Disparities (NCMHD), Health Resources and Services Administration (HRSA)
Ruth S. Weinstock, MD, PhD: CMS, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), CDC/ATSDR, New York State Department of Health (NYSDOH), Onondaga County, Merck, Eli Lilly, Pfizer, Novartis, GlaxoSmithKline, Bristol-Myers Squibb, Biodel, Novo-Nordisk, Sanofi-Aventis
Jeanne A. Teresi, EdD, PhD: CMS, NIA, NHLBI, NCMHD, National Cancer Institute (NCI), Agency for Healthcare Research and Quality (AHRQ), NYSDOH
Walter Palmas, MD, MS: CMS, NHLBI
Justin Starren, MD, PhD: CMS, NLM, National Science Foundation (NSF), Centers for Disease Control, New York State Center for Advanced Technology, NHGRI, NCI, NCRR, NIOSH, Lifescan, Delta Dental
James J. Cimino, MD: CMS, NLM, NIH Clinical Center
Albert M. Lai, PhD: CMS, NLM, NSF
Lesley Field, RN, MSN: CMS
Philip Morin, MS: CMS, NYSDOH
Robin Goland, MD: CMS, NHLBI, NIDDK
Roberto E. Izquierdo, MD: CMS, NIDDK, NYSDOH, Abbott Labs, Macrogenics, Inc.
Susanna Ebner, MD: CMS, Sanofi-Aventis
Stephanie Silver, MPH: CMS, NIA, NHLBI, NCMHD, AHRQ, NYSDOH
Eva Petkova, PhD: NIA, NHLBI, National Institute on Drug Abuse (NIDA), National Institute on Alcohol Abuse and Alcoholism (NIAAA), National Institute of Mental Health (NIMH)
Jian Kong, MS: CMS, NIA, NHLBI, NCMHD, AHRQ, NYSDOH
Joseph P. Eimicke, MS: CMS, NIA, NHLBI, NCMHD, AHRQ, NYSDOH