Return to Web Version

Chronic Care Model

The Chronic Care Model, developed by MacColl Institute for Healthcare Innovation, advocates for more productive interactions between the patient and his/her care team. It describes how the model elements work together to create a patient-centered, proactive health care team.

The model elements are:
  • Clinical information systems
  • Decision support
  • Delivery system design
  • Self-management support
  • Community and organizational leadership
Improving Chronic Illness Care: Overview of the Chronic Care Model -- Explore the elements of the Chronic Care Model.
CCM Presentation -- This online presentation walks you through the Chronic Care Model step-by-step with narration by model developer, Dr. Ed Wagner, national program director, Improving Chronic Illness Care.
Assessment of Chronic Illness Care -- This practice assessment tool will help you gauge how your practice is performing on the six dimensions of the Chronic Care Model.