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Rebuilding Chronic Care
Published: November 30, 2006
Providence St. Peter Clinic
Improving Chronic Illness Care
More than 130 million Americans—almost half of us—suffer from diabetes, depression or some other chronic conditions. Often, the multiple health care providers tending to these patients do not coordinate their care. Frequently, they fail to follow recommended standards of treatment. Patients themselves could take more responsibility for their own care if they knew what to do. Too many times, no one shows them how.
Improving Chronic Illness Care (ICIC), a national program of the Robert Wood Johnson Foundation, is dedicated to improving chronic conditions health care. ICIC has demonstrated that care for chronically ill patients can be improved with redesigned medical offices, new roles for patients and caregivers, and enhanced clinical information systems. What's more, this new approach can reduce overall health care costs while improving outcomes.
One example: the Providence St. Peter Family Clinic in Olympia, Wash. After implementing the Chronic Care Model, with its emphasis on patient self-management and innovations in care delivery, the clinic has seen significant improvements in patient health and staff morale.
The Chronic Care Model has dramatically improved health care delivery and staff morale at the clinic, and results have been similarly positive at other Improving Chronic Illness Care (ICIC) sites around the country. ICIC reflects the commitment of the Robert Wood Johnson Foundation to ensuring that all Americans, especially those with chronic conditions, receive high-quality care, particularly in outpatient settings.
The Chronic Care Model identifies the essential elements of a health care system that encourage high-quality chronic disease care: the community, the health system, self-management support, delivery system design, decision support, and clinical information systems. The model can be applied to a variety of chronic illnesses, health care settings and target populations. The bottom line is healthier patients, more satisfied providers, and cost savings.
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Related Web sites
An Evaluation of Collaborative Interventions to Improve Chronic Illness Care
By:
Cretin S, Shortell SM and Keeler EB
Publication date:
February 2004
Summary:
The Chronic Care Model (CCM) was designed to foster improvements in care of patients with chronic illnesses. This research describes a program designed to use quality improvement collaboration to induce providers, organizations and patients to make changes...
Evidence on the Chronic Care Model in the New Millennium
By:
Coleman K, Austin BT, Brach C and Wagner EH
Publication date:
January/February 2009
Summary:
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.
Early Experiences With Consumer Engagement Initiatives To Improve Chronic Care
By:
Hurley RE, Keenan PS, Martsolf GR, Maeng DD and Scanlon DP
Publication date:
January/February 2009
Summary:
This paper investigates the early experiences of the 14 regional multistakeholder quality improvement alliances funded by the Robert Wood Johnson Foundation in 2006 to design and implement communitywide consumer engagement strategies.
Rethinking Prevention in Primary Care
By:
Hung DY, Rundall TG, Tallia AF, Cohen DJ, Halpin HA and Crabtree BF
Publication date:
January 2007
Summary:
This study examines the Chronic Care Model (CCM) as a framework for preventing health risk behaviors such as tobacco use, risky drinking, unhealthy dietary patterns and physical inactivity. Data were obtained from primary care practices participating in a national...
Coaching Academic Medical Centers in the Chronic Care Model
Publication date:
Aug 22, 2008
Summary:
From 2005 to 2007, project staff at the Association of American Medical Colleges provided education and coaching to teams at 22 academic health centers that were implementing the Chronic Care Model - a system to improve the care of chronically ill patients.
Health Insurance Reform Project Identifies New Ideas to Improve Federal Health Policy - Voluntary Chronic Care Improvement Programs and Tax Credits
Publication date:
October 03, 2005
Summary:
The Health Insurance Reform Project worked to develop and advance new ideas to improve federal health policy, focusing primarily on improving quality in Medicare and expanding health insurance coverage nationally.
Chronic Care in America
Publication date:
Aug 31, 1996
Summary:
This report provides an overview of a growing issue facing the nation: how to provide appropriate health care and related social services to people living with chronic health conditions.
Waste, Inefficiencies and Inequalities in Chronic Care Management
Publication date:
December 29, 2006
Summary:
An examination of chronic care management among the elderly uncovers waste, inequality and inefficiencies and highlights areas for improvement
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