Table 1.

Chronic Illness Care Management (CICM): Model and Care Plan Components

The CICM was framed as a patient-centered model for primary care management of persons with multiple chronic illnesses. This was to be accomplished through an evaluation of a patient’s care requirements via a written care plan prepared collaboratively between a patient and the patient’s family physician. Patient health goals and concerns were to be elicited, and 5 components reviewed:

  1. Medication review

  2. Education and self-care

  3. Psychological and social assessment

  4. Community integration and social support

  5. Prevention

Through this process, patients and physicians could then set mutual goals, with plans for follow-up in planned, scheduled visits.
Physicians were compensated $300 for the completion of a care plan.