Thank you for visiting Improving Chronic Illness Care!

Our funding for updating this website ended in 2011, but the resources we developed are still helping clinical practices from around the world to transform the care they provide to better serve patients with chronic illness. Please visit our home page to learn more—or check out our more recent tools and resources at:


Learning Materials

Care Coordination Resources
Reducing Care Fragmentation (FULL TOOLKIT)
Executive Summary_Reducing Care Fragmentation
Reducing Care Fragmentation: Presentation on Coordinating Care
Learning Materials
Planned Care Visit Video Series Guide
Practice Coaching Manual
Conducting a Continuing Care Clinic Handbook for Practice Teams
The Group Health Plain Language Network
Redesigning Chronic Illness Care Mini-Course
Organization of Health Care and Delivery System Design - Alan Glaseroff, MD Humboldt IPA
The Chronic Care Model - Ed Wagner MD MacColl Institute
Integrating Chronic Care and Business Strategies in the Safety Net - MacColl Institute
PRISM Readibility Toolkit -Third edition, Version 4 - Jessica Ridpath, GHRI
Health Literacy Universal Precautions Toolkit - UNC Chapel Hill, Darren Dewalt MD, Ed Wagner MD
Partnering in Self-Management Support: A Toolkit for Clinicians (updated)
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