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.

Since this project ended, the MacColl Center for Health Care Innovation has continued our pioneering work our work to improve care with a patient-centered, team-based approach. To access our more recent tools and resources, please visit our other websites:

The Primary Care Team Guide is a free online learning tool that supports practices to deliver true team-based care—a critical component of transforming into a Patient-Centered Medical Home (PCMH). Primary care practices of all stages of development will find it useful: Over 250 resources, including job descriptions, flow sheets, and videos provide practices with new approaches and tools to help prepare for and deliver team-based care.

Taking Action on Overuse provides a roadmap for reducing overused care—such as unnecessary tests, treatments, or hospitalizations—that drive up health care costs and can cause harm to patients. Reducing this overused care requires actively engaging in the challenging work of sustained cultural, organizational, and behavior change. Our evidence-based framework and change package guides health care organizations in working with their care teams to reduce low-value, unnecessary care—and to make those efforts last.

MacColl Center for Health Care Innovation links our audience to the many tools and resources we’ve developed to help transform health care through research, model development, implementation science, and training and technical assistance. Besides chronic illness care, our main focus areas are care coordination, primary care teams, practice facilitation, and the patient-centered medical home.