From: Development of a Chronic Care Model for Neurological Conditions (CCM-NC)
Components of CCM-NC | Corresponding expanded CCM component |
---|---|
Socio-economic and political context | Community |
• Acceptance and Openness to NC | • Create Supportive Environment |
• Investments and Funding | • Create Supportive Environment |
o Enhance health and community services by mobilizing technology | Â |
o Support training of HCP and caregivers | Â |
• Evidence-informed Policy | • Build Healthy Public Policy |
o Needs-based/Reflective of neurological conditions | Â |
o Encourages independence | Â |
o Supports seamless transitions | Â |
o Standardized across provinces | Â |
Community integration | Community and health system |
• Supported Transitions across care settings and lifespan | • Create Supportive Environment and Delivery System Design |
• Caregiver Support | • Strengthen Community Action |
• Life enhancing Resources (Education, Employment, Housing, Transportation) | • Create Supportive Environment |
Health system | Health system |
• Knowledge and Awareness among HCP | • Decision Support and Information Systems |
o Guidelines | Â |
o Online resources | Â |
o Training in self-management principles | Â |
• Knowledge and Awareness among clients | • Self-management/Develop Personal Skills |
o Self-management support for youth and parents | Â |
• Availability and Access to services | • Delivery System Design |
o Need for person-centred care | Â |
o Integrative case planning for smooth transitions | Â |
o Lack of services in rural areas | Â |
Intersectoral collaboration | Productive interactions and relationships |
• Activated and Informed Person/Family | • Informed Activated Patient |
• Proactive Team of Service Providers | • Prepared Proactive Team |
• Person-centred Health system | • Activated Community |
• Healthy Public Policy Across Sectors | • Prepared Proactive Community Partners |