Table 1 Examples of operationalization of the CCM
From: Partnering with health system operations leadership to develop a controlled implementation trial
CCM goal: anticipatory, continuous, evidence-based, collaborative care via… | ||||
|---|---|---|---|---|
Work role redesign | Self-management support for individuals in treatment | Decision support | Information management | Community linkages |
• Care management • Access-driven scheduling • Activated follow-up | • Incorporation of the individual’s values and skills • Shared decision-making • Self-management skiIIs • Behavioral change interventions | • Provider education • Practice guidelines • Specialty consultation | • Population: registry • Provider: reminders • Outcome tracking • Feedback • Integrated care plans | • Additional resources • Peer-based support |
Organizational leadership and support | ||||