Assessing the Implementation of the Chronic Care Model in Quality Improvement Collaboratives

Objective. To measure organizations' implementation of Chronic Care Model (CCM) interventions for chronic care quality improvement (QI). Data Sources/Study Setting. Monthly reports submitted by 42 organizations participating in three QI collaboratives to improve care for congestive heart failur...

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Bibliographic Details
Published in:Health services research 2005-08, Vol.40 (4), p.978-996
Main Authors: Pearson, Marjorie L., Wu, Shinyi, Schaefer, Judith, Bonomi, Amy E., Shortell, Stephen M., Mendel, Peter J., Marsteller, Jill A., Louis, Thomas A., Rosen, Mayde, Keeler, Emmett B.
Format: Article
Language:English
Subjects:
Analysis
Care and treatment
chronic care model
Chronic Disease - therapy
Chronic diseases
Company business management
Data analysis
Delivery of Health Care - organization & administration
Health Plan Implementation - organization & administration
Health services administration
Humans
implementation evaluation
Long term health care
Management
Models, Organizational
organizational change
Organizational Innovation
Quality Assurance, Health Care
Quality improvement
quality improvement collaboratives
Quality of Care
Studies
United States
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Summary:Objective. To measure organizations' implementation of Chronic Care Model (CCM) interventions for chronic care quality improvement (QI). Data Sources/Study Setting. Monthly reports submitted by 42 organizations participating in three QI collaboratives to improve care for congestive heart failure, diabetes, depression, and asthma, and telephone interviews with key informants in the organizations. Study Design. We qualitatively analyzed the implementation activities of intervention organizations as part of a larger effectiveness evaluation of yearlong collaboratives. Key study variables included measures of implementation intensity (quantity and depth of implementation activities) as well as fidelity to the CCM. Data Collection/Extraction Methods. We developed a CCM‐based scheme to code sites' intervention activities and criteria to rate their depth or likelihood of impact. Principal Findings. The sites averaged more than 30 different change efforts each to implement the CCM. The depth ratings for these changes, however, were more modest, ranging from 17 percent to 76 percent of the highest rating possible. The participating organizations significantly differed in the intensity of their implementation efforts (p
ISSN:0017-9124
1475-6773
DOI:10.1111/j.1475-6773.2005.00397.x