Chronic Care Management/Patient Relationship Management Proof of Concept

• Appointment attendance [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  As measured by no-show rates for appointments at all clinics during the study period, compared between intervention and control groups
• Perceived self-efficacy [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  As measured by comparison of patient responses to validated assessment instrument administered at baseline and post-intervention
• Glycemic control [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Measured by patients' self-reported fasting blood glucose levels during the intervention period and compared to previous laboratory data in the medical record.

This proof of concept study proposes to evaluate the feasibility of a communications-technology-based chronic care and patient relationship management program to improve diabetes self management among adult diabetic patients in an urban safety net population by providing between-visit reminders and chronic disease support through cell phone text messaging.

The investigators hypothesize that diabetic patients enrolled in the program will be less likely to miss scheduled appointments and will have greater perceived self-efficacy and improved patient satisfaction concerning chronic disease management. No-show rates among patients enrolled in the program are expected to be lower than among patients receiving standard care.

Inclusion Criteria:

• patients with diabetes
• receive care at a primary care clinic in the DH system
• between 18 and 76 years of age
• primary language of English or Spanish
• ownership of a qualifying cell phone (SMS text capable)
• ownership of a glucometer.

Exclusion Criteria:

• life expectancy less than six months,
• do not have or cannot use a phone or glucometer
• do not want to participate

• Microsoft Corporation
• EMC Consulting