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Topic: Chronic Care | Agency for Healthcare Research & Quality (AHRQ)

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</nav></div> <div id="basic-modal"><!-- start: Basic Modal--> <!-- T:ahrqPgTopic --> <!--<div id="content-col" class="grid_9">--> <div class="grid_9"> <h1>Topic: Chronic Care</h1> <div id="tab-groups"> <ul id="tabs"> <li><a href="#patients">For Patients<br>&amp; Consumers</a></li> <li><a href="#professionals">For<br>Professionals</a></li> <li><a href="#policymakers">For<br>Policymakers</a></li> <li><a href="#research">Research<br>&amp; Data</a></li> <li>Funding<br>&amp; Grants</li> <li><a href="#news">News<br>&amp; Events</a></li> </ul> <div id="patients" class="content"> <h2>Other Patient &amp; Consumer Resources</h2><section><ul> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/announcements/details.html">Prevention and Chronic Care Announcement Details</a></span> </li> </ul></section> </div> <div id="professionals" class="content"> <h2>Clinicians &amp; Providers</h2><section><ul> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/research/findings/evidence-based-reports/tpmttp.html">Assessment of Thiopurine Methyltransferase Activity in Patients Prescribed Azathioprine or Other Thiopurine-based Drugs</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/systems/primary-care/coachmnl/index.html">Integrating Chronic Care and Business Strategies in the Safety Net</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/systems/primary-care/businessstrategies/index.html">Integrating Chronic Care and Business Strategies in the Safety Net</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/clinicians-providers/ehclibrary/chronic/index.html">Library of Resources for Chronic Diseases and Related Conditions</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/decision/mcc/index.html">Multiple Chronic Conditions</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/research/findings/factsheets/aging/elderdis/index.html">Preventing Disability in the Elderly With Chronic Disease</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/index.html">Prevention and Chronic Care</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/decision/research-centers/index.html">Research Centers for Excellence in Clinical Preventive Services</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/resources/index.html">Resources</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/education/curriculum-tools/chroniccaremodel/index.html">Toolkit for Implementing the Chronic Care Model in an Academic Environment</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/decision/research-centers/rce_profiles.html">Training the Next Generation of Leaders in Clinical Preventive Services</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/research/findings/final-reports/women-and-diabetes-2004-2005/index.html">Women With Diabetes: Quality of Health Care, 2004-2005</a></span> </li> </ul></section> <h2>Hospital &amp; Health System Resources</h2><section><ul> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/systems/primary-care/businessstrategies/index.html">Integrating Chronic Care and Business Strategies in the Safety Net</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/decision/research-centers/index.html">Research Centers for Excellence in Clinical Preventive Services</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/systems/long-term-care/resources/multichronic/index.html">The AHRQ Multiple Chronic Conditions Research Network</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/education/curriculum-tools/chroniccaremodel/index.html">Toolkit for Implementing the Chronic Care Model in an Academic Environment</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/decision/research-centers/rce_profiles.html">Training the Next Generation of Leaders in Clinical Preventive Services</a></span> </li> </ul></section> </div> <div id="policymakers" class="content"> <h2>Policymaker Resources</h2><section><ul> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/fig15.3.html">Figure 15.3. Sample facilitation practice record – data and graphics</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod15trainers.html">Module 15 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod17trainers.html">Module 17 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod17.html">Module 17. Electronic Health Records and Meaningful Use</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod18trainers.html">Module 18 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod18.html">Module 18. Using the AHRQ Care Model Toolkit With Practices</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod19appendix.html">Module 19 Appendix</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod19.html">Module 19. Implementing Care Teams</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod2appendix.html">Module 2 Appendix</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod2trainers.html">Module 2 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod2.html">Module 2. Working With Safety Net Practices</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod20appendixa.html">Module 20 Appendix A</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod20appendixb.html">Module 20 Appendix B</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod20appendixc.html">Module 20 Appendix C</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod20trainers.html">Module 20 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod20.html">Module 20. Facilitating Panel Management</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod21appendix.html">Module 21 Appendix</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod21trainers.html">Module 21 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod21.html">Module 21. Improving Self-Management Support</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod3appendix.html">Module 3 Appendix</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod3trainers.html">Module 3 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod3.html">Module 3. An Overview of the Facilitation Process</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod4appendix.html">Module 4 Appendix</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod4.html">Module 4. Approaches to Quality Improvement</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod5appendix.html">Module 5 Appendix</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod5trainers.html">Module 5 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod5.html">Module 5. Mapping and Redesigning Workflow</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod6appendix.html">Module 6 Appendix</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod6trainers.html">Module 6 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod6.html">Module 6. Assessing Practices</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod7trainers.html">Module 7 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod7.html">Module 7. Measuring and Benchmarking Clinical Performance</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appendixa.html">Module 8 Appendix A</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appendixb.html">Module 8 Appendix B</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appendixc.html">Module 8 Appendix C</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8trainers.html">Module 8 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8.html">Module 8. Collecting Performance Data With Chart Audits</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod9appendix.html">Module 9 Appendix</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod9trainers.html">Module 9 Trainer's Guide</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod9.html">Module 9. Preparing and Presenting Performance Data</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod1trainers.html">Part 1. Introduction to Practice Facilitation</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod4trainers.html">Part 2. Core Competencies for Practice Facilitators</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod11trainers.html">Part 3. In the Practice</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod16trainers.html">Part 4. Implementing the Care Model and Patient-Centered Medical Home</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/index.html">Practice Facilitation Handbook</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appbadampie.html">Sample Medical Record: Adam Pie</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appnbillwindows.html">Sample Medical Record: Bill Windows</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appbbillygato.html">Sample Medical Record: Billy Gato</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appbcherieamore.html">Sample Medical Record: Cherie Amore</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appbjohndonut.html">Sample Medical Record: John Donut</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appbmonicalatte.html">Sample Medical Record: Monica Latte</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appbsteveapple.html">Sample Medical Record: Steve Apple</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appbtomgellato.html">Sample Medical Record: Tom Gellato</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod8appbwendysee.html">Sample Medical Record: Wendy See</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod1tab1.1.html">Table 1.1 Practice facilitator activities</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/tab13.1.html">Table 13.1. Sample report to QI Team on progress toward goal of improving performance on diabetes HEDIS indicators</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/tab20.1.html">Table 20.1. Empanelment Exercise</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/tab21.1.html">Table 21.1. Self-management support tasks and assignments</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/tab6.1.html">Table 6.1. Assessment metrics</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/tab6.2.html">Table 6.2. Elements of the ACIC </a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/tab9.1.html">Table 9.1. Sample performance report to QI Team on a chronic kidney disease guide implementation project</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/research/findings/final-reports/women-and-diabetes-2004-2005/index.html">Women With Diabetes: Quality of Health Care, 2004-2005</a></span> </li> </ul></section> </div> <div id="research" class="content"> <h2>Research Activities Newsletter Articles</h2><section> <!-- T:SnIndexDatebasedRow --> <article class="articles"> <div class="article-preview-left-col"> <div class="article-preview-date"> <span class="month">September</span> <span class="day">1</span> <span class="year">2013</span> </div> </div> <div class="article-preview"> <h1><a href="/web/20140924162713/http://www.ahrq.gov/news/newsletters/research-activities/13sep/0913RA17.html">Adults with childhood-onset illnesses are a small, but high-risk group of users of pediatric intensive care units</a></h1> </div> </article> </section> <h2>Fact Sheets</h2><section> <!-- T:SnIndexDatebasedRow --> <article class="articles"> <div class="article-preview-left-col"> <div class="article-preview-date"> <span class="month">September</span> <span class="day">1</span> <span class="year">2012</span> </div> </div> <div class="article-preview"> <h1><a href="/web/20140924162713/http://www.ahrq.gov/research/findings/factsheets/aging/elderdis/index.html">Preventing Disability in the Elderly With Chronic Disease</a></h1> </div> </article> </section> <h2>Full Research Reports</h2><section> <!-- T:SnIndexDatebasedRow --> <article class="articles"> <div class="article-preview-left-col"> <div class="article-preview-date"> <span class="month">December</span> <span class="day">1</span> <span class="year">2012</span> </div> </div> <div class="article-preview"> <h1><a href="/web/20140924162713/http://www.ahrq.gov/professionals/systems/primary-care/coachmnl/index.html">Integrating Chronic Care and Business Strategies in the Safety Net</a></h1> </div> </article> </section> <h2>Other Research &amp; Data</h2><section><ul> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/decision/mcc/mccrn-18grants.html">2008 R21 Exploratory and Developmental Grants on Multiple Chronic Conditions</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/decision/mcc/mccrn-r21grants.html">2010 R21 Exploratory Grants on Multiple Chronic Conditions</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/decision/mcc/mccrn-r24grants.html">2010 R24 Expansion of Research Capability to Study Comparative Effectiveness in Complex Patients Grants</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/decision/mcc/mccpublications.html">AHRQ Multiple Chronic Conditions Research Network Publications</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/decision/mcc/resources.html">Additional Resources from AHRQ’s Multiple Chronic Conditions (MCC) Research Network</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/news/newsroom/articles-of-interest/20131025.html">Outcomes Among Chronically Ill Adults in a Medical Home Prototype</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/prevention-chronic-care/decision/mcc/selectmccpubs.html">Selected Publications on Multiple Chronic Conditions, 2002-2013</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/professionals/education/curriculum-tools/chroniccaremodel/index.html">Toolkit for Implementing the Chronic Care Model in an Academic Environment</a></span> </li> </ul></section> </div> <div id="news" class="content"> <h2>Press Releases</h2><section> </section> <h2>Other News &amp; Events</h2><section><ul> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/news/newsletters/e-newsletter/335.html">New AHRQ Toolkit Supports Hospital Efforts To Improve Quality and Safety</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/news/newsroom/articles-of-interest/20131025.html">Outcomes Among Chronically Ill Adults in a Medical Home Prototype</a></span> </li> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/news/newsletters/e-newsletter/338.html">Study Finds Consumers Choose High-Value Health Care Providers When Given Good Cost and Quality Information</a></span> </li> </ul></section> </div> </div> </div> <!--</div>--> </div><!-- end: Basic Modal--> </div> </div> </div> <footer> <div id="top-button-container" class="container_12"> <a href="#tiptop" id="top-button">Back to top<img src="/web/20140924162713im_/http://www.ahrq.gov/resources/img/top-button-icon.png" alt="Go back to top" width="25" height="25"/></a> </div> <div id="footer-separator"></div> <div id="median-container"> <div id="median" class="container_12"> <a href="/web/20140924162713/http://www.ahrq.gov/index.html" class="grid_2 alpha"><img src="/web/20140924162713im_/http://www.ahrq.gov/resources/img/ahrq-footer-logo.png" alt="AHRQ" width="70" height="30"/></a> <nav id="legal"><ul class="grid_6"> <li> <span><a href="/web/20140924162713/http://www.ahrq.gov/policy/electronic/accessibility/index.html">Accessibility</a></span> </li><li> <span><a href="/web/20140924162713/http://www.ahrq.gov/policy/electronic/disclaimers/index.html">Disclaimers</a></span> </li><li> <span><a href="/web/20140924162713/http://www.ahrq.gov/policy/eeo/index.html">EEO</a></span> </li><li> <span><a href="/web/20140924162713/http://www.ahrq.gov/policy/foia/index.html">FOIA</a></span> </li><li> <span><a href="https://web.archive.org/web/20140924162713/http://oig.hhs.gov/">Inspector General</a></span> </li><li> <span><a href="https://web.archive.org/web/20140924162713/http://www.hhs.gov/digitalstrategy">HHS Digital Strategy</a></span> </li><li> <span><a href="/web/20140924162713/http://www.ahrq.gov/policy/electronic/plain-writing/index.html">Plain Writing Act</a></span> </li><li> <span><a href="/web/20140924162713/http://www.ahrq.gov/policy/electronic/privacy/index.html">Privacy Policy</a></span> </li><li><span><a href="/web/20140924162713/http://www.ahrq.gov/policy/electronic/about/policyix.html">Electronic Policies</a></span> </li><li> <span><a href="https://web.archive.org/web/20140924162713/http://www.hhs.gov/plugins.html">Viewers &amp; 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