The Chronic Care Model: Designing Care with ‘Chronic’ as the New Norm

Held May 8, 2015

The second of 4 webinars in our Shifting Culture, Shifting Care: From ‘Usual Care’ to Chronic Care Webinar Series. 


Currently, the governance, management and funding of health services in Canada is most often oriented towards the acute care system, creating big gaps for patients with chronic conditions. Primary care is one domain where better management of resources could benefit patients with chronic conditions Some organizations are now working to address this question and realign services to better support good chronic care.

In the second webinar of the “Shifting Culture, Shifting Care: From ‘Usual Care’ to Chronic Care” series, join leading chronic care expert, Dr. Edward Wagner, Director (Emeritus), MacColl Center, as he discusses the evolution of the Chronic Care Model, now simply known as the Care Model, and its continuing role in helping establish good chronic illness care. Dr. Wagner will explore the elements of the Care Model that are important for enhancing chronic care for both patients and providers, including whole-person knowledge of patients, productive and meaningful relationships with specialists, and clear accountability for the totality of care.

Learning Objectives:

  • Understand optimal conditions for chronic care improvement
  • Explore what kinds of changes to practice systems improve chronic care
  • Explore, from both a patient and provider perspective, what distinguishes good chronic illness care from usual care
  • Learn strategies for motivating the clinical front-line to make disruptive changes to improve chronic care for patients and families


Edward-Wagner-125Dr. Edward Wagner, Director (Emeritus), MacColl Center

Dr. Wagner is a general internist/epidemiologist and Director Emeritus of the MacColl Center for Health Care Innovation at the Group Health Research Institute. He and his MacColl colleagues developed the Chronic Care Model (CCM), an integral part of the Patient-centered Medical Home Model (PCMH), and are involved in multiple efforts to use these models to improve ambulatory care nationally and internationally. He has written two books and over 300 peer-reviewed publications. Current research interests include the development and testing of population-based primary care and integrated care models; and interventions to improve the coordination of care. He is an elected member of the Institute of Medicine of the National Academies, and was the recipient of the 2007 NCQA Health Quality Award, the 2007 Picker Institute Award for Excellence in Patient-centered Care, and the 2011 William B. Graham Prize for Health Services Research.


Jennifer VermaJennifer Verma, Senior Director, Collaboration for Innovation and Improvement, CFHI

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