Pearson ML, Wu S, Schaefer J, Bonomi AE, Shortell SM, Mendel PJ, Marsteller JA, Louis TA, Rosen M and Keeler EB
Health Services Research, 40(4): 978-28, August 2005
This study measures organizations’ implementation of Chronic Care Model (CCM) interventions for chronic care quality improvement (QI). The Institute for Healthcare Improvement developed a QI process that uses organizational collaboratives combining rapid-cycle change methods with multiple change strategies. From 1999 to 2002, forty-two organizations participated in three QI collaboratives to improve care for congestive heart failure, diabetes, depression, and asthma. Data collection included telephone interviews with key informants in the organizations.
Key Findings:
- Health care organizations were able to implement the changes; the sites averaged more than 30 different change efforts each to implement the CCM
- The depth ratings for these changes were 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
- Site fidelity to the major elements of CCM was high, with 98 percent of organizations making changes in at least five of the six CCM elements.
Associated Grant ID: Improving Chronic Illness Care Evaluation
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