Measures of CCM Implementation Among Physician Organizations
| Measure | Total (N = 957) No. (%) |
|---|---|
| CCM = Chronic Care Model; Q = question; CCMI = Chronic Care Model Index. | |
| Community linkages | |
| Q55a: Agreements with community services agencies | 200 (20.9) |
| Q55b: Referrals to community agencies | 313 (32.7) |
| Self-management support | |
| Q56a: Assess self-management needs | 423 (44.2) |
| Q56b: Self-management programs | 542 (56.6) |
| Decision support | |
| Q57a: Integrate guidelines into care | 499 (52.1) |
| Q57b: Integrate specialists into care | 615 (64.3) |
| Delivery system design | |
| Q58a: Use planned visits | 536 (56.0) |
| Q58b: Multiple professionals seen in 1 visit | 335 (35.0) |
| Q58c: Employ case managers | 346 (36.2) |
| Information systems | |
| Q59a: Written feedback to physicians | 349 (36.5) |
| Q59b: Internet communication between physicians and patients | 250 (26.1) |
| Overall | |
| Use of any CCM element | 865 (90.4) |
| Use of all 11 CCM elements | 12 (1.3) |
| CCMI, mean (SD) | 4.6 (2.9) |