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Integrating Chronic Care and Business Strategies in the Safety Net

dianagosalvez Diana Gosálvez Prados last modified 23/06/2010 10:01

Improving the care for the chronically ill is one of the most pressing health needs of our time. The Institute of Medicine’s report, Crossing the Quality Chasm, made clear that there were no easy roads to improvement. Healthcare organizations must redesign their systems of care to better address the needs of their patients with depression, asthma, diabetes, and other chronic conditions. America’s safety net providers have led the way. Today, 10 years after the development of the Chronic Care Model and the initial implementation of the Health Disparities Collaboratives, the lessons learned, tools developed, and strategies used by these vanguard teams provide the foundation for the next wave of improvement in chronic illness care.

Integrating Chronic Care and Business Strategies in the Safety Net. (Prepared by Group Health’s  MacColl Institute for Healthcare Innovation, in partnership with RAND and the California Health  Care Safety Net Institute, under Contract No./Assignment No: HHSA2902006000171). AHRQ Publication No. 08-0104-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2008.



To help more safety net organizations implement the Chronic Care Model (CCM) effectively and sustainably, the Agency for Healthcare Research and Quality (AHRQ)  asked Group Health’s MacColl Institute in Seattle, RAND Health, and the California Health Care Safety Net Institute (SNI) to develop and test a toolkit and a practice  coaching approach. The toolkit provides a step-by-step practical approach to guide teams  through quality improvement. A companion Practice Coaching Manual that outlines our approach and provides orientation to other national efforts is also available.

Group Health’s MacColl Institute for Healthcare Innovation

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