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Developing Measures of Educational Change for Academic Health Care Teams Implementing the Chronic Care Model in Teaching Practices

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Abstract

BACKGROUND

The Chronic Care Model (CCM) is a multidimensional framework designed to improve care for patients with chronic health conditions. The model strives for productive interactions between informed, activated patients and proactive practice teams, resulting in better clinical outcomes and greater satisfaction. While measures for improving care may be clear, measures of residents’ competency to provide chronic care do not exist. This report describes the process used to develop educational measures and results from CCM settings that used them to monitor curricular innovations.

SUBJECTS

Twenty-six academic health care teams participating in the national and California Academic Chronic Care Collaboratives.

METHOD

Using successive discussion groups and surveys, participants engaged in an iterative process to identify desirable and feasible educational measures for curricula that addressed educational objectives linked to the CCM. The measures were designed to facilitate residency programs’ abilities to address new accreditation requirements and tested with teams actively engaged in redesigning educational programs.

ANALYSIS

Field notes from each discussion and lists from work groups were synthesized using the CCM framework. Descriptive statistics were used to report survey results and measurement performance.

RESULTS

Work groups generated educational objectives and 17 associated measurements. Seventeen (65%) teams provided feasibility and desirability ratings for the 17 measures. Two process measures were selected for use by all teams. Teams reported variable success using the measures. Several teams reported use of additional measures, suggesting more extensive curricular change.

CONCLUSION

Using an iterative process in collaboration with program participants, we successfully defined a set of feasible and desirable education measures for academic health care teams using the CCM. These were used variably to measure the results of curricular changes, while simultaneously addressing requirements for residency accreditation.

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Acknowledgement

The Robert Wood Johnson Foundation and the California Healthcare Foundation generously supported the academic chronic care collaboratives that served as the basis for this work

Conflict of interest

None disclosed.

Author information

Authors and Affiliations

  1. Oregon Health & Science University, Portland, OR, USA

    Judith L. Bowen MD

  2. The Dartmouth Institute for Health Policy and Clinical Practice, Hanover, NH, USA

    David P. Stevens MD

  3. UTHSC School of Nursing, Houston, TX, USA

    Connie S. Sixta PhD

  4. Process Improvement, Austin, TX, USA

    Lloyd Provost MS

  5. Centre for Clinical Governance Research, University of New South Wales, Sydney, Australia

    Julie K. Johnson MSPH, PhD

  6. Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Donna M. Woods PhD

  7. MacColl Institute for Healthcare Innovation, Group Health Center for Health Studies, Seattle, WA, USA

    Edward H. Wagner MD, MPH

Authors
  1. Judith L. Bowen MD
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  2. David P. Stevens MD
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  3. Connie S. Sixta PhD
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  4. Lloyd Provost MS
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  5. Julie K. Johnson MSPH, PhD
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  6. Donna M. Woods PhD
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  7. Edward H. Wagner MD, MPH
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Corresponding author

Correspondence to Judith L. Bowen MD.

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Bowen, J.L., Stevens, D.P., Sixta, C.S. et al. Developing Measures of Educational Change for Academic Health Care Teams Implementing the Chronic Care Model in Teaching Practices. J GEN INTERN MED 25 (Suppl 4), 586–592 (2010). https://doi.org/10.1007/s11606-010-1358-1

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  • DOI: https://doi.org/10.1007/s11606-010-1358-1

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