Date of Award

Summer 2021

Document Type

Final DNP Paper

Degree Name

Doctor of Nursing Practice (DNP)



Faculty Chair

Dr. Laura Barrow


Dr. Ilinca Prisacaru


This quantitative study was developed in order to evaluate the impact of phone calls on patient outcomes using the Chronic Care Management program (CCM). In January 2015, the Centers for Medicare and Medicaid Services (CMS) implemented the (CCM), with the goal of improving health and quality of care for high-risk patients. The administration and physicians at the clinic of focus for this project recognized a need for the facility to help improve and manage these patients’ care to prevent issues such as hospital readmission. This project aimed at following patients in the program with the chronic condition of diabetes mellitus and tracked previous glycated hemoglobin (A1C) prior to program and compared the result to the A1C three months into the program. After participation in the program for a minimum of three months, a quantitative analysis was completed from the data collected. Results showed the probability of an individual’s A1C to decrease was 61.8%, which is clinically significant. Nursing has a strong foundation based in promoting quality of life for patients. This project reflects that goal and has potential to advance nursing’s mission to promote quality of life moving into the future.

Keywords: chronic care management, chronic care protocols, chronic care, diabetes, Type 2 diabetes, diabetes management, telehealth

Included in

Nursing Commons



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