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

The Chronic Care Model (CCM)—designed to assist practices with improving care for patients with chronic health conditions—seeks to engage informed, activated patients with proactive care teams. As part of their medical education, residents in training need to learn the elements of CCM and how to implement this well-defined evidence-based process and outcome measures.

Building on the success of the Robert Wood Johnson Foundation's national collaborative in 2005–06, a subset of 26 California collaborative teams were funded in 2007 to develop educational measures and implement the CCM in the academic practice setting. The initiative was linked to changes in accreditation of residency programs that required competencies that could be met through implementation of the CCM in ambulatory settings. Using discussion groups, surveys and an iterative process, participants:

  • Defined potential educational objectives and measurement strategies that met the accreditation competencies.
  • Proposed 17 education measures that were desirable and feasible at the local residency program and practice level.
  • Selected two measures as most likely to promote curricular change in training programs.
  • Reported on educational outcomes using those measures.

While initially residents were defined as the learning population, teams recognized early the importance of equally engaging faculty in the new curriculum and practice redesign.