ACIC components | Score 2003 | Score 2007 | Max score |
---|---|---|---|
Part 1: Organization of the Healthcare Delivery System | 2,7 | 7 | 66/6 |
-Overall organizational leadership in chronic illness care | 2 | 7 | 11 |
-Organizational goals for chronic care | 1 | 7 | 11 |
-Improvement strategy for chronic illness care | 1 | 9 | 11 |
-Incentives and regulations for chronic illness care | 0 | 0 | 11 |
-Senior leaders | 6 | 10 | 11 |
-Benefits | 6 | 9 | 11 |
Part 2: Community Linkages | 0,3 | 5,7 | 33/3 |
-Linking patients to outside resources | 1 | 5 | 11 |
-Partnership with community organizations | 0 | 6 | 11 |
-Regional health plans | 0 | 6 | 11 |
Part 3: Practice level | Â | Â | Â |
Part 3a: Self-management support | 1,3 | 6,3 | 44/4 |
-Assessment and documentation of self-management needs and activities | 3 | 6 | 11 |
-Self-management support | 1 | 6 | 11 |
-Addressing concerns of patients and families | 1 | 6 | 11 |
-Effective behaviour change interventions and peer support | 0 | 7 | 11 |
Part 3b: Decision support | 2,5 | 7,3 | 44/4 |
-Evidence-based guidelines | 3 | 8 | 11 |
-Involvement of specialists in improving primary care | 2 | 9 | 11 |
-Provider education for chronic illness care | 2 | 5 | 11 |
-Informing patients about guidelines | 3 | 7 | 11 |
Part 3c: Delivery System Design | 1,3 | 4,5 | 66/6 |
-Practice team functioning | 0 | 5 | 11 |
-Practice team leadership | 1 | 9 | 11 |
-Appointment system | 1 | 2 | 11 |
-Follow-up | 2 | 3 | 11 |
-Planned visits for chronic illness care | 0 | 0 | 11 |
-Continuity of care | 4 | 8 | 11 |
Part 3d: Clinical information systems | 0,6 | 2,4 | 55/5 |
-List of patients with specific conditions | 1 | 2 | 11 |
-Reminders tot providers | 0 | 0 | 11 |
-Feedback | 0 | 4 | 11 |
-Information about relevant subgroups of patients needing services | 0 | 0 | 11 |
-Patient treatment plans | 2 | 6 | 11 |
Overall ACIC score | 1,45 | 5,5 | 11 |