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Chronic Care Model Component Self Management SEED Learning Session 1 Julie Copper, RN, BC, BSN, CDE What is Self Management? Self-management is what people do every day They decide what to eat, whether
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How to fill out chronic care model component

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How to fill out chronic care model component:

01
Identify the target population: The first step is to determine the specific group of patients who will benefit from the chronic care model component. This may include individuals with chronic conditions such as diabetes, heart disease, or asthma.
02
Assess the needs of the target population: Once the target population has been identified, it is important to assess their specific needs. This may involve conducting surveys, interviews, or reviewing medical records to gather information on their health status, healthcare utilization, and preferences for care.
03
Set specific goals and objectives: Based on the needs assessment, establish clear and measurable goals for the chronic care model component. These goals may include improving patient outcomes, reducing hospital readmissions, or increasing patient satisfaction.
04
Develop an action plan: Create a detailed action plan outlining the steps and strategies that will be implemented to achieve the goals established in the previous step. This may involve developing new care processes, implementing evidence-based interventions, or enhancing patient self-management support.
05
Allocate necessary resources: Identify the resources required to implement and sustain the chronic care model component. This may include staffing, training, technology, and financial resources. Ensure that the necessary resources are available and allocated appropriately.
06
Implement the chronic care model component: Put the action plan into practice. This may involve training healthcare providers, educating patients, and integrating new care processes into the existing healthcare system. Monitor the implementation process closely and make any necessary adjustments.
07
Monitor and evaluate outcomes: Continuously monitor and evaluate the outcomes of the chronic care model component. This may involve collecting and analyzing data on patient outcomes, healthcare utilization, and cost-effectiveness. Use this information to make informed decisions and improve the effectiveness of the model.
08
Make adjustments and improvements: Based on the evaluation results, make any necessary adjustments or improvements to the chronic care model component. This may involve modifying care processes, refining interventions, or addressing any identified gaps or barriers.

Who needs chronic care model component:

01
Patients with chronic conditions: The chronic care model component is designed to benefit individuals with chronic diseases or conditions that require ongoing management and care. This may include conditions such as diabetes, heart disease, chronic obstructive pulmonary disease (COPD), or hypertension.
02
Healthcare providers: Healthcare providers, including physicians, nurses, and allied health professionals, can benefit from implementing the chronic care model component. It offers a systematic approach to managing chronic conditions and improving patient outcomes.
03
Healthcare organizations: Healthcare organizations, such as hospitals, clinics, and healthcare systems, can benefit from adopting the chronic care model component. It provides a framework for delivering high-quality, patient-centered care and improving the overall efficiency and effectiveness of the healthcare system.
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The chronic care model component is a framework that helps in the redesign of healthcare delivery to better meet the needs of patients with chronic conditions.
Healthcare providers and organizations that are involved in managing the care of patients with chronic conditions are required to file the chronic care model component.
The chronic care model component can be filled out by identifying and implementing the key elements of the model, such as self-management support, decision support, delivery system design, clinical information systems, and community resources.
The purpose of the chronic care model component is to improve the quality of care for patients with chronic conditions by providing a systematic approach to care delivery.
Information such as patient demographics, care management activities, patient outcomes, and any changes in the patient's health status must be reported on the chronic care model component.
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