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Assessment of Readiness for Chronicity in Health Care Organizations (ARCHO 1.0)

dianagosalvez Diana Gosálvez Prados — 10/10/2011

IEMAC 1.0.

The ARCHO is a tool that enables healthcare organisations to self-assess their implementation of models for the management of chronic conditions. This questionnaire can help ascertain how well geared your organisation is towards prevention and the management of chronic patients and measure its performance with respect to certain dimensions, making this a valuable tool for identifying weak areas and, in turn, for improving the organisation.

Fragility, pluripathology/polipathology and/or complex chronic diseases

Goals Treatment:
Develop basic elements for an integrated health system , Provides support health policies to facilitate the planning and integration at locally and regionally , Improving access to health services across the entire spectrum, from prevention to treatment , Ensures the best quality of health services , It facilitates the management by processes , Emphasizes the care of pluri-pathological and fragile patients , Promotes electronic health information systems to improve the quality of care

The ARCHO is an instrument for self-assessment which can be used in a variety of contexts and across a range of organisational levels. Specifically, it can be used at all decision-making levels: macro, meso and micro; and in all healthcare levels.
It should be taken into account that not all interventions considered in the ARCHO are equally applicable at all levels and, as such, results should be viewed in context. For instance, some of the Dimension 1 interventions, Organisation of the Health System, are  ore meaningful at macro levels, i.e., where policies  and strategies are formulated and resources allocated, while some in Dimension 4, Self-Management, are more relevant at the micro levels, in relation to the activity of healthcare professionals. The interventions in Dimension 3, Health Care Model, although relevant
to all levels, are particularly applicable at the meso level with regards to the management of healthcare organisations, hospitals and programmes.
On the other hand, the ARCHO offers the opportunity to integrate assessments from the macro, meso and micro levels in order to build up an overall picture of the system.




País Vasco



Plaza Asua, 1

Practices Map
Management models



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