Building Competency in Diabetes Education THE ESSENTIALS

2-8 | CHAPTER 2

Figure 1. The Expanded Chronic Care Model: Integrating Population Health Promotion

Reprinted from Diabetes Canada 2018 Clinical Practice Guidelines (14)

With its current application to chronic disease management, the CCM is considered not only an organization of care model, but also a quality improvement strategy (14). Evidence to date suggests that when the CCM has been used as a template to redesign practice, there have been significant improvements in health outcomes (7,9,21). Studies have found reduced rates of cardiovascular disease, better processes for delivery of care, higher levels of patient satisfaction, lower health care utilization and improved clinical outcomes when elements of the CCM model have been introduced in diabetes management (7,21,23,26,27). There is, however, a need for further research to evaluate the cost effectiveness of the model, the time frame for implementation and the process outcomes. Although it has been noted that not all the elements of the model have had the same success, evidence supports the fact that the self-management component has been the most effective element in improving outcomes (8,19).

As educators, our main task is to work within a prepared, proactive practice team to help develop productive interactions and relationships which result in an informed and activated patient (15,24) .