Populations with Chronic Conditions

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    Accreditation Canada’s standards for populations with chronic conditions are based on:

    • Wagner et al’s Chronic Care Model that has been adopted in many provinces and organizations across Canada 1
    • the Expanded Chronic Care Model developed in British Columbia 2
    • input from an expert multi-disciplinary standards working group, and
    • a review of research and best practice in chronic disease care

    Most services for those with chronic conditions are delivered by primary care providers in the community.

    These standards address the importance of primary care, the need to align acute and tertiary care to support the services provided by primary care providers, and the importance of integrating services across the continuum of care.

    These standards contain the following subsections:

    • Investing in chronic disease management services
    • Partnering with the community
    • Integrating and coordinating services
    • Supporting clients to self-manage their condition
    • Basing decisions on research and evidence
    • Using information and information technology
    • Monitoring quality and achieving positive outcomes

    1 Global Perspectives on Chronic Disease Management: The Calgary Conference 2005. Calgary, Alberta. September 25-29, 2005 and Innovations in Rural Chronic Care: The “Beulah Sault” Seniors Health Conference 2006. Lethbridge, Alberta. April 12-13, 2006.

    2 Barr VJ et al, (2003). The Expanded Chronic Care Model: An Integration of Concepts and Strategies from Population Health Promotion and the Chronic Care Model. Submitted for publication March 31, 2003.