Reducing Cardiovascular Disease Risk for Prediabetics using a Clinical Decision Support System


Funded by the National Heart, Lung, and Blood Institute (NHLBI), the objective of this 5-year study is to The objective of this project is to improve care and cardiovascular risk factors in predominantly rural prediabetes patients at high risk for developing diabetes and cardiovascular events by implementing clinical decision support system and presents the patient and primary care provider with personalized, evidence-based drug and lifestyle treatment recommendations.

The aims of this study are to:

  1. Randomize 30 primary care clinics at Essentia Health with 450 primary care physicians and over 11,000 high-risk adult prediabetes patients to usual care clinics or intervention clinics which use an electronic health record-linked, web-based prediabetes clinical decision support system designed to improve prediabetes care
  2. Assess the cost and cost-effectiveness of the clinical decision support intervention
  3. Describe critical facilitators and barriers for the prediabetes clinical decision support implementation process, outcomes, and future dissemination using a mixed-methods approach

This research is a collaboration between HealthPartners Institute for Education and Research and Essentia Health.The research team at Essentia includes Daniel M. Saman, Joe Bianco, Lisa Wilkinson, Jeremy Meier, and Clayton Allen.



For more information about a financial conflict of interest (FCOI), review the Essentia Health FCOI policy.

Last Updated: 12/29/2015

Principal Investigator(s)
Daniel M. Saman
Joe Bianco

Research Study Categories

  • Healthcare Delivery Studies


  • Primary Care
Daniel Saman at 218-786-1754