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http://www.improvingchroniccare.org/index.php?p=Delivery_System_Design&s=21
Delivery System Design Assure the delivery of effective, efficient clinical care and self-management support Improving the health of people with chronic illness requires transforming a system that is essentially reactive - responding mainly when a person is sick - to one that is proactive and focused on keeping a person as healthy as possible.
http://www.ihi.org/resources/Pages/Changes/ChronicConditionsDeliverySystemDesign.aspx
Delivery System Design to Improve Chronic Care ... In a well-designed delivery system, clinicians plan visits well in advance, based on the patient’s needs and self-management goals. During "group visits," patients see their clinician and meet with other patients with similar health problems. Nonphysician staff are cross-trained to provide ...
https://www.medscape.com/viewarticle/549040_3
Nov 10, 2019 · The delivery of effective, efficient clinical care through appropriate use of all team members, planned patient interactions, regular follow-up, and case management are all …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5091929/
To be defined as CCM-based, an intervention had to integrate changes that involved most or all of the six areas of the model: self-management support, decision support, delivery system design, clinical information systems, health care organization, and community resources.
https://www.healthaffairs.org/doi/full/10.1377/hlthaff.28.1.75
2 The Chronic Care Model (CCM) is designed to help practices improve patient health outcomes by changing the routine delivery of ambulatory care through six interrelated system changes meant to...Author: Katie Coleman, Brian T. Austin, Cindy Brach, Edward H. Wagner
http://guidelines.diabetes.ca/Browse/Chapter6
This chapter reflects the importance of the CCM design, delivery and organization of diabetes care. To assist the readers in increasing their understanding and application of the CCM framework in their daily practice, the terminology and QI strategies have been re-organized under the 4 main components of the CCM .
http://www.improvingchroniccare.org/index.php?p=1:_Models&s=363
The Chronic Care Model The Chronic Care Model (CCM) is an organizational approach to caring for people with chronic disease in a primary care setting. The system is population-based and creates practical, supportive, evidence-based interactions between an informed, activated patient and a prepared, proactive practice team.
https://bluefishmedical.com/chronic-care-model/
Mar 29, 2018 · The chronic care model refers to a widely-used framework for organizing and providing care for people with chronic disease. (ICIC, 2018) In this model, care is provided within a primary care setting, operating with a strategy of bringing together the patient, provider and system interventions necessary to accomplish the overall goal of improving care for chronic illness.
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