Team Meetings in a Clinical Environment Talk: San Francisco, 2009

A 10-minute presentation narrated by Ed Wagner and produced by The California HealthCare Foundation and the California Improvement Network shows how meetings can make a difference in team effectiveness and provides tips on getting the most from these group interactions.

Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis.

Co-authored by MacColl Director Michael Parchman, this March 2014 article examines the extent to which practice members' perceptions of how well they organized to deliver care consistent with the CCM were associated with their patients' perceptions of the chronic illness care they have received.

A conceptual model of the role of complexity in the care of patients with multiple chronic conditions.

This AHRQ MCCRN conceptual model defines complexity as the gap between patient needs and healthcare services, considering the many needs of MCC patients as well as the contextual factors influencing service delivery. Reframeing processes and outcomes to include not only clinical care quality and experience, the model also incorporates patient health, well being, and quality of life issues.

Spreading a medical home redesign: effects on emergency department use and hospital admissions

The Group Health experience is outlined in this journal article co-authored by Katie Coleman, showing it is possible to reduce emergency department use with patient-centered medical home transformation across a diverse set of clinics using a clear change strategy and sufficient resources and supports.

Assessing Progress toward Becoming a Patient-Centered Medical Home: An Assessment Tool for Practice Transformation

This December 2013 journal article describes the properties of the Patient-Centered Medical Home Assessment (PCMH-A) as a tool to stimulate and monitor progress among primary care practices interested in transforming to patient-centered medical homes.

Implementing the CCM in Academic Environments

The materials in this toolkit were created for two collaboratives designed to help implement the Chronic Care Model in academic health care settings:  one nationally, the other focused on California-based institutions. 

Academic Medical Center Collaborative Tools

The Association of American Medical Colleges facilitated the adoption of the Chronic Care Model by academic medical centers through two collaboratives based in educational institutions: one national, and one focused on California institutions.  Find eac collaborative's training materials here.