Care Model and Productive Interaction

As the rate of chronic conditions rises, redesigning the health care system to improve the care and management of these conditions is increasingly important. The chronic care model was [Page 153]introduced by the MacColl Center for Health Care Innovation at Group Health Research Institute in 1996 as an evidence-based framework designed to guide chronic care improvement. Since then the model has been adapted and applied to preventive care, patient-centeredness, and other quality-related practices and is now referred to as the care model. The care model calls for a systemwide approach to health care. The model outlines six system elements for improving chronic care—the health care organization, delivery system design, decision support, clinical information systems, self-management support, and community partnerships—and evidence-based practices within each one. These ...