Many patients now live with two or more chronic conditions

Due to the growing burden of chronic disease, our work increasingly involves looking for ways to support providers caring for patients who are managing several chronic diseases.  We are collaborating with AHRQ through its Multiple Chronic Conditions Research Network to understand interventions of the most benefit to complex patients.

We offer a proven strategy to help guide health systems change

The Chronic Care Model (CCM) provides an evidence-based framework to guide systems change.  More than 15 years after our development and dissemination of this framework via the Improving Chronic Illness Care program, the CCM continues to be utilized by health care organizations worldwide.

Our tools measure patient and provider experience

Our survey instruments were developed to be practical, readily-available and adaptable tools to help teams improve care for chronic illness -- but they've also been implemented for research purposes around the world.  The Assessment of Chronic Illness Care (ACIC) addresses care at the community, organization, practice and patient levels, and the Patient Assessment of Chronic Illness Care (PACIC) measures specific actions or qualities of care, congruent with the CCM, that patients report they have experienced in the delivery system.

Related Resources

Low-value care: an intractable global problem with no quick fix

"Low-value care: an intractable global problem with no quick fix" is a May 2018 BMJ Quality & Safety editorial by Michael Parchman and John Mafi that discusses one of the most pressing problems in healthcare across the world. Low-value care raises costs, causes iatrogenic patient harm, and often interferes with the delivery of high-value care.

PACIC-Lithuanian 26-item scale (Lėtinių sveikatos būklių priežiūros vertinimas)

The Patient Assessment of Chronic Illness Care (PACIC) 26-item survey was translated into Lithuanian by Domeikiene A. PhD, Trakselyte V., Gabryte D., Staniuliene A., Department of Family Medicine, Lithuanian University of Health Sciences, Kaunas Hospital Clinics, Lithuania and Ivanauskiene R. PhD, Health System Research Laboratory, Health Research Institute, Lithuanian University of Health Sciences, Lithuania.

PACIC-Lithuanian 20-item scale (Lėtinių sveikatos būklių priežiūros vertinimas)

The Patient Assessment of Chronic Illness Care (PACIC) 20-item survey was translated into Lithuanian by Domeikiene A. PhD, Trakselyte V., Gabryte D., Staniuliene A., Department of Family Medicine, Lithuanian University of Health Sciences, Kaunas Hospital Clinics, Lithuania, and Ivanauskiene R. PhD, Health system research laboratory, Health Research Institute, Lithuanian University of Health Sciences, Lithuania.

PACIC-Arabic 26-item scale (تقييم رعاية الامراض المزمنة)

Courtesy of Nouf Sahal Al-Harbi PhD, Researcher, College of Applied Studies and Community Services, King Saud University, Riyadh, Kingdom of Saudi Arabia, we are pleased to make available an Arabic translation of our PACIC instrument. This is the 26-item PACIC.

Perspectives of Patients, Clinicians, and Health System Leaders on Changes Needed to Improve the Health Care and Outcomes of Older Adults With Multiple Chronic Conditions

Perspectives of Patients, Clinicians, and Health System Leaders on Changes Needed to Improve the Health Care and Outcomes of Older Adults With Multiple Chronic Conditions ascertains perspectives of multiple stakeholders on contributors to inappropriate care for older adults with multiple chronic conditions

A First Step on the Journey to High-Quality Chronic Illness Care

A First Step on the Journey to High-Quality Chronic Illness Care. Wagner, EH. Healthc Pap. 2016;15 Spec No:62-5; discussion 97-123.    The Atlantic Healthcare Collaboration conducted a quality improvement initiative to improve chronic disease prevention and management for the four Atlantic provinces and their regional health authorities. Leaders and front-line teams carried out a range of projects, each suited to the needs of that region.

Taking Action on Overuse Action Planning Framework

Taking Action on Overuse Action Planning Framework

The Taking Action on Overuse Action Planning Framework (formerly Supporting Provider Engagement to Reduce Low-Value Care) is a promising approach to engage healthcare providers and care teams in undertaking the difficult work of reducing low-value, unnecessary care. The MacColl Center for Health Care Innovation developed this framework with the support of the Robert Wood Johnson Foundation (RWJF).

Taking action on overuse: Creating the culture for change

Our team has spent the past two years developing an approach for engaging providers in reducing medical overuse. It focuses on the real-world aspects of implementing change, centering on the conditions and practices that help providers transform established practice patterns. You can read the story of the Taking Action on Overuse framework in Healthcare: The Journal of Delivery Science and Innovation.

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