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An evaluation of collaborative interventions to improve chronic illness care. Framework and study design
Shan Cretin1, Stephen M Shortell, Emmett B Keeler
1University of California, Berkeley, USA.
Evaluation Review
|January 31, 2004
Summary
Formal collaboratives can drive organizational changes to enhance chronic illness care using the chronic care model (CCM). This study evaluates CCM
Area of Science:
- Health Services Research
- Quality Improvement Science
- Chronic Disease Management
Background:
- Chronic illness care requires effective organizational strategies.
- The chronic care model (CCM) offers a framework for improvement.
- Formal collaboratives are a potential mechanism for implementing the CCM.
Purpose of the Study:
- To evaluate the effectiveness of formal collaboratives in implementing the CCM.
- To assess the impact of the CCM on organizational change and chronic illness care.
- To identify factors associated with successful implementation of collaborative improvement methods.
Main Methods:
- A dual-purpose evaluation comparing intervention and comparison sites.
- Pre- and post-intervention data collection on organizational and patient-level factors.
- Utilizing multiple data sources to measure CCM implementation, processes, outcomes, and team dynamics.
Main Results:
- Data collection is nearing completion for 37 intervention organizations, 22 control sites, and over 4,000 patients.
- Challenges in site and patient recruitment were encountered.
- Analysis will focus on the degree of CCM implementation and its impact.
Conclusions:
- The study will provide insights into the effectiveness of collaborative improvement methods.
- Findings will illuminate the impact of the chronic care model on healthcare delivery.
- Results will inform future strategies for improving chronic illness management.
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