- Overview
- Adult Immunizations
- Alcohol and Substance Use (SBIRT)
- Asthma
- Appropriate Use of Antibiotics for ARI
- Colorectal Cancer Screening
- Cardiovascular Disease (CVD) and Stroke Prevention
- Depression
- Diabetes in Adult Patients
- Gestational Diabetes
- Obesity
- Pediatric Immunizations
- Pneumococcal & Influenza Standing Orders
- Prevention
- Tobacco Cessation and Secondhand Smoke Exposure
Clinical Information Systems
Organize patient and population data to facilitate efficient and effective care
- Provide timely reminders for providers and patients
- Identify relevant subpopulations for proactive care
- Facilitate individual patient care planning
- Share information with patients and providers to coordinate care
- Monitor performance of practice team and care system
Effective chronic illness care is virtually impossible without information systems that assure ready access to key data on individual patients as well as populations of patients. A comprehensive clinical information system can enhance the care of individual patients by providing timely reminders for needed services, with the summarized data helping to track and plan care. At the practice population level, an information system can identify groups of patients needing additional care as well as facilitate performance monitoring and quality improvement efforts.
Elements of the CCM
Click on the links below for more resources.
- Community Resources and Policies
- Health Systems Organization of Healthcare
- Self-Management Support
- Delivery System Design
- Decision Support
- Clinical Information Systems
- Informed, Activated Patient
- Prepared, Proactive Practice Team
General Resources
PDSA Tools
- Model for Improvement - PDSA Key Points
- PDSA Form
- PDSA-SDSA Worksheet
- PDSA Worksheet for Testing Change
- Project Planning Form
Registry Resource
Additional Information
For questions and additional information, please contact Allyson Gottsman at (720) 297-1681.
