Evidence on the Chronic Care Model in the new millennium.

Developed more than a decade ago, the Chronic Care Model (CCM) is a widely adopted approach to improving ambulatory care that has guided clinical quality initiatives in the United States and around the world. We examine the evidence of the CCM's effectiveness by reviewing articles published since 2000 that used one of five key CCM papers as a reference. Accumulated evidence appears to support the CCM as an integrated framework to guide practice redesign. Although work remains to be done in areas such as cost-effectiveness, these studies suggest that redesigning care using the CCM leads to improved patient care and better health outcomes.

[1]  E. Wagner,et al.  Untangling practice redesign from disease management: how do we best care for the chronically ill? , 2009, Annual review of public health.

[2]  J. Iglehart.  No place like home--testing a new model of care delivery. , 2008, The New England journal of medicine.

[3]  David N Gans,et al.  A house is not a home: keeping patients at the center of practice redesign. , 2008, Health affairs.

[4]  L. Casalino,et al.  The cost consequences of improving diabetes care: the community health center experience. , 2008, Joint Commission journal on quality and patient safety.

[5]  M. Parchman,et al.  Risk of Coronary Artery Disease in Type 2 Diabetes and the Delivery of Care Consistent With the Chronic Care Model in Primary Care Settings: A STARNet Study , 2007, Medical care.

[6]  M. Seid,et al.  Evidence for the effect of disease management: is $1 billion a year a good investment? , 2007, The American journal of managed care.

[7]  M. Chin,et al.  Improving and Sustaining Diabetes Care in Community Health Centers With the Health Disparities Collaboratives , 2007, Medical care.

[8]  David O Meltzer,et al.  The cost-effectiveness of improving diabetes care in U.S. federally qualified community health centers. , 2007, Health services research.

[9]  R. Silliman,et al.  Improving Quality of Care for Urban Older People with Diabetes Mellitus and Cardiovascular Disease , 2007, Journal of the American Geriatrics Society.

[10]  J. Geyman.  Disease Management: Panacea, Another False Hope, or Something in Between? , 2007, The Annals of Family Medicine.

[11]  A James O'Malley,et al.  Improving the management of chronic disease at community health centers. , 2007, The New England journal of medicine.

[12]  E. Keeler,et al.  Can a Chronic Care Model Collaborative Reduce Heart Disease Risk in Patients with Diabetes? , 2007, Journal of General Internal Medicine.

[13]  Dorothy Y. Hung,et al.  Rethinking Prevention in Primary Care: Applying the Chronic Care Model to Address Health Risk Behaviors , 2007, The Milbank quarterly.

[14]  K. Shojania,et al.  Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis. , 2006, JAMA.

[15]  D. Cummings,et al.  Feasibility and Effectiveness of System Redesign for Diabetes Care Management in Rural Areas , 2005, The Diabetes educator.

[16]  T. Weeramanthri,et al.  Assessing health centre systems for guiding improvement in diabetes care , 2005, BMC health services research.

[17]  Sally C Morton,et al.  A meta-analysis of interventions to improve care for chronic illnesses. , 2005, The American journal of managed care.

[18]  Matthias Schonlau,et al.  Does the Collaborative Model Improve Care for Chronic Heart Failure? , 2005, Medical care.

[19]  Kathleen Ell,et al.  Can collaborative care address the needs of low-income Latinas with comorbid depression and cancer? Results from a randomized pilot study. , 2005, Psychosomatics.

[20]  David Wypij,et al.  Impact of a quality improvement program on care and outcomes for children with asthma. , 2005, Archives of pediatrics & adolescent medicine.

[21]  R. Grol,et al.  Integrated care programmes for chronically ill patients: a review of systematic reviews. , 2005, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[22]  T. Louis,et al.  Measuring the effectiveness of a collaborative for quality improvement in pediatric asthma care: does implementing the chronic care model improve processes and outcomes of care? , 2005, Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association.

[23]  T. Louis,et al.  Assessing the implementation of the chronic care model in quality improvement collaboratives. , 2005, Health services research.

[24]  L. Casalino,et al.  Disease management and the organization of physician practice. , 2005, JAMA.

[25]  B. Fleming,et al.  The relationship between organizational systems and clinical quality in diabetes care. , 2004, The American journal of managed care.

[26]  Thomas Bodenheimer,et al.  Organizational factors affecting the adoption of diabetes care management processes in physician organizations. , 2004, Diabetes care.

[27]  Patrick J O'Connor,et al.  Do all components of the chronic care model contribute equally to quality improvement? , 2004, Joint Commission journal on quality and safety.

[28]  Shan Cretin,et al.  An Evaluation of Collaborative Interventions to Improve Chronic Illness Care , 2004, Evaluation review.

[29]  E. McGlynn,et al.  The quality of health care delivered to adults in the United States. , 2003, The New England journal of medicine.

[30]  Thomas Bodenheimer,et al.  Improving primary care for patients with chronic illness: the chronic care model, Part 2. , 2002, JAMA.

[31]  T. Bodenheimer,et al.  Improving primary care for patients with chronic illness. , 2002, JAMA.

[32]  Brian T. Austin,et al.  Improving chronic illness care: translating evidence into action. , 2001, Health affairs.

[33]  W. Assendelft,et al.  Interventions to improve the management of diabetes in primary care, outpatient, and community settings: a systematic review. , 2001, Diabetes care.

[34]  E H Wagner,et al.  Effect of improved glycemic control on health care costs and utilization. , 2001, JAMA.

[35]  W. Assendelft,et al.  Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. , 2000, The Cochrane database of systematic reviews.

[36]  E H Wagner,et al.  Chronic disease management: what will it take to improve care for chronic illness? , 1998, Effective clinical practice : ECP.

[37]  Brian T. Austin,et al.  Organizing care for patients with chronic illness. , 1996, The Milbank quarterly.

[38]  R. Goetzel,et al.  Return on Investment in Disease Management: A Review , 2005, Health care financing review.

[39]  M. Chin,et al.  Improving diabetes care in midwest community health centers with the health disparities collaborative. , 2004, Diabetes care.