Primary Care Education and Practice Adoption Resource Evaluation for Continuous Glucose Monitoring (PREPARE 4 CGM)
Keywords
CGM, continuous glucose monitoring, diabetes, diabetes technology, clinician and staff education
Types of Research
Clinical research, dissemination and implementation research, practice based research
Summary
The PREPARE 4 CGM study evaluates strategies to implement CGM in primary care, comparing practice-led, self-paced CGM implementation plan or referral to a virtual CGM implementation service.
Significance
Most diabetes care occurs in primary care. CGM is associated with clinical and psychosocial benefits. While CGM uptake in primary care is rising, understanding models to support CGM use in diverse primary care practices is needed.
Impact
The CGM implementation strategies evaluated in PREPARE 4 CGM can benefit primary care practices and their patients through improved diabetes care and management and expanded access to diabetes technology.
Lessons Learned
- PREPARE 4 CGM implementation strategies (consisting of self-guided online CGM educational modules with or without practice facilitation and a virtual CGM initiation service) supported primary care practices to significantly increase CGM prescribing and improve CGM implementation scores related to:
- Workflows to engage patients
- Facilitate insurance authorization
- Use CGM data to inform diabetes care
- Bill for CGM
- PREPARE 4 CGM implementation strategies (consisting of self-guided online CGM educational modules with or without practice facilitation and a virtual CGM initiation service) were also associated with significant improvements in clinical, psychosocial, and satisfaction outcomes in people with diabetes.
- Expanding CGM use in primary care settings can support improved care and health outcomes for people with diabetes.
- Primary care practices should consider CGM implementation strategies to improve care and management of diabetes and expand access to evidence-based diabetes technology.
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