title: Chronic care model implementation in the California State Prison System.
abstract: The chronic care model (CCM) deployed through a learning collaborative strategy, such as the Institute for Healthcare Improvement's Breakthrough Series (BTS), is a widely adopted approach to improve care that has guided clinical quality initiatives nationally and internationally. The BTS collaborative approach has been used to improve chronic conditions at national and state levels and in single health care delivery systems but not in correctional health care. Combining the CCM with a learning collaborative strategy in prison health care is a new frontier. This article describes the adoption of the CCM using a learning collaborative approach in the California prison system under the mandate of a federal receivership and elucidates some barriers to implementation. Results from the first phase of a pilot study were positive in terms of benefit/ cost analysis and suggest financial and political viability to continue the program.
authors.affiliation: California Prison Health Care Receivership Corporation, Office of the Receiver, Sacramento, California, USA. ha.betsy@yahoo.com
authors.forename: Betsy Chang
authors.initials: BC
authors.lastname: Ha
authors.forename: Greg
authors.initials: G
authors.lastname: Robinson
mesh_terms: D000328:Adult; D002140:California; D002908:Chronic Disease / Q000191:economics / Q000628:therapy*; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D017146:Models, Organizational; D010353:Patient Education as Topic / Q000379:methods / Q000458:organization & administration; D017060:Patient Satisfaction; D010379:Peer Group; D010865:Pilot Projects; D011330:Prisons / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D012648:Self Care