Assessing Chronic Illness Care Education (ACIC-E)

Breakthrough Series Collaboratives engage organizations to implement strategies and plan for changes in clinical settings that will accelerate efforts to improve chronic illness care. Few collaboratives though have included residency training in parallel with improving the delivery of clinical care.

Many teams use the Assessing Chronic Illness Care (ACIC) to identify deficiencies in the system of care and direct improvement efforts—typically at the start, mid and end of the collaborative. As residency sites become involved in improving chronic illness care, residency programs need to identify gaps in their training on the Chronic Care Model.

Some 29 self-selected teams from the national collaborative and 15 from the California collaborative tested the ACIC-Education (ACIC-E). All teams reported moderate progress implementing educational changes to improve chronic illness care in the seven areas measured. The area with the lowest baseline performance rating—clinical information system to teach and improve clinical care—received the greatest improvement over time. The highest baseline-rated area—decision support or use of evidence-based medicine—showed little improvement over time.

Further research is needed to determine if the ACIC-E components represent valuable educational aims—and whether high scores are related to superior quality chronic illness care education.