Managing Diabetes to Gain Opportunities for a More Active Life

• Patient selection of personalized goals[ Time Frame: 1 year ]
  Patients will receive a pre-and post-survey in which they will be asked if they have diabetes care goals. We will measure these goals over time.
• Patient ability to reach personalized goals[ Time Frame: 1year ]
  Using EHR data, we will measure whether or not patients are reaching the goals they have documented in the survey.

The purpose of this novel patient-facing disease management intervention is to develop and test a system embedded within the electronic medical record to engage patients in personalized goal setting and chronic disease management.

• Behavioral: My Diabetes Goal Survey and Optional Care Management
  The intervention is already described in the intervention arm description.

• Experimental: Intervention
  Patients that are enrolled in the intervention arm will receive an email message via MyChart (University of Chicago patient portal) to complete an initial questionnaire. Completion of the questionnaire will be required prior to initiating risk factor tracking and opening the portal to requests for care management support. A study team member (diabetes nurse educator) will contact the patient, if requested via the survey, to initiate telephonic care management or links to additional support services. Upon completion the study, all patients will receive a post-survey via MyChart.
• Active Comparator: Delayed Intervention/Control
  Patients enrolled in the delayed intervention arm will receive usual care for the first 6 months, and then will receive the survey and intervention as stated above.