Site Map

Home
The Chronic Care Model
• Model Elements
› Health System
› Delivery System Design
› Decision Support
› Clinical Information Systems
› Self-Management Support
› The Community
› Footnotes & Citations
• The Model Talk
• The Model In Action
› The ACT Report
› Planned Care
› Stories from the Field
› TEAMcare
• The RAND Evaluation
• CCM Gallery
• Using the CCM in your work
• 'Tackling the Chronic Care Crisis'
Care Coordination
• Background
• Care Coordination Model
› Footnotes
• Change Package
› Key Changes
› Accountability
› Patient Support
› Relationships & Agreements
› Connectivity
• Case Studies
› Family Care Network
› Genesys Health System
› Humboldt County
› San Francisco General Hospital
› Oklahoma School of Community Medicine
• Tools & Resources
Practice Change
• Assessment
› ACIC Survey
• Versions
• Supporting Literature
• User Info
› PACIC Survey
• Scoring
• Translations & Adaptations
• Supporting Literature
• User Info
› PCMHA
• Self-Management Support
› Team Up for Health
› Clinician Toolkit
• Practice Coaching
› Toolkit
› Coaching Manual
› CCM Tools
• The Primary Care Team
Patient-Centered Medical Home
• Safety Net Medical Home Initiative
• PCMH Change Concepts
› Engaged Leadership
› Quality Improvement Strategy
› Empanelment
› Patient-Centered Interactions
› Organized, Evidence-Based Care
› Care Coordination
› Enhanced Access
› Continuous & Team-Based Healing Relationships
• PCMH-A
• PCMH Literature
Global Work
• Regional Framework
› 2006 National Conference
• Leading Coalitions
• NRHI
• 'It Takes A Region' CD
Evidence for Better Care
• Chronic Care Model Literature
› Randomized Control Trials
› QI Evaluations
› Organizational Traits & QI
› Cost-effectiveness
› Updates
• Condition-Specific Literature
› Arthritis
› Asthma
› Depression
› Diabetes
› Geriatric Care
› Heart Failure
› Hypertension
› Systematic Reviews
Resource Library
• Critical Tools
• Learning Materials
• Presentations & Slides
• Survey Instruments
• Collaboratives
› BTS Collaborative Training & Materials
• Getting Started
• Planning and Pre-Work
• Learning Session One
• Action Period One
• Learning Session Two
• Action Period Two
• Learning Session Three
• Action Period Three
• Closing Event
› Academic Medical Center Collaboratives
• California ACCC
› Goals & Expectations
› Change Package
› Dates, Tasks & Contacts
› Resources
• ACCC
› Change Package
› Participant List
› Kickoff Session Resources
› LS1 Resources
› LS2 Resources
› LS3 Resources
› Closing Event Resources
• Steps for Improvement
› Overview
› 1: Models
› 2: Teams
› 3: Guidelines
› 4: Clinical Data
› 5: Measures
› 6: Planned Visits
› 7: Self-Management Support
• Reports
• Multimedia
› Chronic Illness Care Lecture Series
› See How Planned Care Works
• Graphics
• Translations
About US
• Our Partners
• Past Programs
› Grants
› National Meetings
• The MacColl Center
• Staff
• News & Events
› 2012
› 2011
› 2010
› Archive
• Use of Materials
• Contact Us
• Site Map