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Chronic Disease Management

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  • Topic: Chronic disease management
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Improving Chronic Illness Care

December 12, 2011 | Program Result

Improving Chronic Illness Care supported a clinical improvement program, targeted research and dissemination related to the Chronic Care Model, a patient-centered, collaborative approach to the delivery of care for people with chronic illness.

In the Tribal Communities of California's Pauma Valley, it Takes a Village to Combat Chronic Illness

September 12, 2011 | Program Result

In North San Diego County, the Indian Health Council is using the Chronic Care Model to engage patients in their own care.

Chronic Care Education

October 1, 2010 | Journal Article

The Academic Chronic Care Collaboratives (ACCCs) empowered patients and changed attitudes among health care team members toward primary care. This introduction of a supplement to the Journal of General Internal Medicine, previews the achievements of the Academic Chronic Care Collaboratives.

A Multi-Institutional Quality Improvement Initiative to Transform Education for Chronic Illness Care in Resident Continuity Practices

October 1, 2010 | Journal Article

The national and California Chronic Care Collaboratives implemented the Chronic Care Model (CCM) in teaching hospitals in the U.S. and California. This report, from a supplement to the Journal of General Internal Medicine, describes educational changes and improvements in clinical outcomes.

Joy and Challenges in Improving Chronic Illness Care

October 1, 2010 | Journal Article

This report presents qualitative evaluations of the Academic Chronic Care Collaboratives (ACCC). The authors analyzed responses to electronic team surveys. For ACCC teams focused on diabetes care, the authors investigated whether any of the qualitative measures influenced clinical outcomes.

Developing Measures of Educational Change for Academic Health Care Teams Implementing the Chronic Care Model in Teaching Practices

October 1, 2010 | Journal Article

Putting the Chronic Care Model into practice with residency programs in California.

Assessing Chronic Illness Care Education (ACIC-E)

October 1, 2010 | Journal Article

Modest improvement was shown in all areas of chronic care education measured.

Using the Teamlet Model to Improve Chronic Care in an Academic Primary Care Practice

October 1, 2010 | Journal Article

Team care can improve management of chronic conditions, but implementing a team approach in an academic primary care clinic presents unique challenges. (This article was not funded by the Robert Wood Johnson Foundation, but has been included as an a ...

The RAND Evaluation

January 1, 2009 | Report

Improving Chronic Illness Care (ICIC) is a national program dedicated to improving the quality of life among the 133 million Americans who suffer from diabetes, depression and other chronic conditions. An evaluation of ICIC was conducted by RAND Corporation, led by Emmett B. Keeler, Ph.D.

Evidence on the Chronic Care Model in the New Millennium

January 1, 2009 | Journal Article

This paper reviews evidence published since 2000 about practices' ability to redesign care in accord with the Chronic Care Model (CCM) and the impacts of such redesign on clinical care and health outcomes. Implications for practice and research are discussed.

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