Validated Clinical Model

Chronic Care Model Elements:

The Chronic Care Model (CCM) identifies the essential elements of a health care system that encourage high-quality chronic disease care.  These elements are:

• The Community
• The Health System
• Self-Management Support
• Delivery System Design
• Decision Support
• Clinical Information Systems

Evidence-based change concepts under each element, in combination, foster productive interactions between informed patients who take an active part in their care and providers with resources and expertise.

Care Coordination:

Enhanced patient engagement is a key component of the Chronic Care Model.

One of the Chronic Care Model (CCM) elements addresses the concept of the “Planned Visit”. To facilitate the Planned Visit a CareCoach contacts the patient up to 1 week prior to every scheduled physician office visit to assist them in preparing for their encounter with the PCP.  This care coordination provides the potential opportunity to receive the most potential benefit from the physician office appointment by reviewing the expectations of the patient for the upcoming visit. 

We will show you how to build clinical checklists (actionable) that provide enhanced care coodination to facilitate the objectives of the Planned Visit initiative.  Utilization of the Planned Visit workflow provides the opportunity for enhanced patient engagement and optimal clinical satisfaction scores.  Utilization of the Chronic Care Model "Planned Visit" will greatly enhance your VBC program.