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Updated: Jul 14, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Improving chronic illness care: translating evidence into action.

E H Wagner¹, B T Austin, C Davis

¹W.A. MacColl Institute for Healthcare Innovation at the Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, USA.

Health Affairs (Project Hope)

|January 31, 2002

Summary

Chronic illnesses require better medical care. The Chronic Care Model (CCM) offers system changes to improve clinical management, support, and information for patients with chronic conditions.

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Last Updated: Jul 14, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Health Services Research
Quality Improvement Science

Background:

Growing prevalence of chronic illnesses presents challenges in patient care.
Current healthcare systems often fail to meet the comprehensive needs of individuals with chronic conditions, primarily due to a design suited for acute care.
Effective system changes for chronic care are increasingly documented.

Purpose of the Study:

To summarize evidence for improving chronic illness care.
To introduce the Chronic Care Model (CCM) as a framework for quality improvement.
To describe the application and outcomes of the CCM in healthcare organizations.

Main Methods:

Literature synthesis to identify effective chronic care strategies.
Development and description of the Chronic Care Model (CCM).
Implementation of the CCM in over 100 healthcare organizations for intensive quality improvement.

Main Results:

The CCM provides a structured approach to enhance chronic illness management.
Insights were gained from intensive quality improvement activities across numerous health care settings.
The model facilitates better clinical management, psychological support, and information delivery for chronic disease patients.

Conclusions:

The Chronic Care Model (CCM) addresses the gap between patient needs and healthcare delivery for chronic conditions.
The CCM serves as a valuable tool for quality improvement in chronic care.
Successful implementation across multiple organizations demonstrates the model's potential to improve patient outcomes and experiences.