UH3 Project: Improving Chronic Disease Management with Pieces (ICD-Pieces™)

UH3 Project: Improving Chronic Disease Management with Pieces (ICD-Pieces™)

Principal Investigator: Miguel Vazquez, MD

Sponsoring Institution: University of Texas Southwestern Medical Center

Collaborator: Parkland Health and Hospital System

NIH Institute Providing Oversight: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Program Official: Susan Mendley (NIDDK)

Project Scientist: Kevin Chan (NIDDK)

ClinicalTrials.gov Identifier: NCT02587936

Study Locations: Texas, Connecticut

Trial Status: Currently recruiting participants

Chronic kidney disease (CKD), diabetes, and hypertension are common medical conditions that are often present together and cause many complications. Among adults in the United States, the prevalence of CKD has increased from 10% to 14% over the last 2 decades, and diabetes and hypertension are the 2 leading causes of CKD and end-stage renal disease. Important progress in identification of effective treatments for CKD, diabetes, and hypertension has been made, but there is a significant gap in translating these treatments to clinical practice.

The goal of ICD-Pieces is to help primary care physicians treat patients in more effective ways to reduce heart problems, hospitalizations, and deaths. This study involves a collaborative primary care–nephrology care model at Parkland Health and Hospital System for patients with CKD in a predominantly minority population. This study will implement a novel technology platform (Pieces) that enables the use of electronic health record (EHR) data to improve CKD care within primary care practices or medical homes in the community.

NIH Project Information


Demonstration Projects: UH3 Project: Improving Chronic Disease Management with Pieces (ICD-Pieces™). In: Rethinking Clinical Trials: A Living Textbook of Pragmatic Clinical Trials. Bethesda, MD: NIH Health Care Systems Research Collaboratory. Available at: https://rethinkingclinicaltrials.org/demonstration-projects/uh3-project-improving-chronic-disease-management-with-pieces-icd-pieces/. Updated November 7, 2019.