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Measures > Measure Information
Assessment of Chronic Illness Care (ACIC)

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“Might be useful in a broad sense for QI initiatives” More

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2 comments
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  • By:
    Deborah Mayer
    University of North Carolina-Chapel Hil
  • Date:
    08/08/2012 12:26 PM
  • Context:

Quality Improvement measure based on Wagner's model of chronic care

Might be useful in a broad sense for QI initiatives

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  • By:
    Carrie Stricker
    University Of Pennsylvania
  • Date:
    08/03/2012 12:13 PM
  • Context:

Quality improvement measure to assess organization of chronic illness care

MEASURE SUMMARY: The ACIC is a quality improvement measure that is based on the Chronic Care Model and is specifically focused on evaluating the organization of chronic illness care, as opposed to most quality measures that evaluate outcome or process indicators. When taken as a whole, the ACIC could be used to assess the overall organizational culture of a institution/health system as a means of evaluating the broader environment and system (of survivorship care) within which survivorship care plans would be delivered, as survivorship care itself is well aligned with a chronic illness model of care. However, the ACIC seems less appropriate for use as a outcome measure of survivorship care planning interventions, per se; the measure is too broad and is targeted at system assessment, and systems would not traditionally be conceptualized as the target of SCP interventions. That being said, a blunt measure of SCP intevenions would be the final question in Part 6 that assesses "patient treatment plans". USABILITY & PSYCHOMETRICS: The ACIC has been evaluated and shown to be feasible to implement in real-world settings, and shows reasonable concurrent validity when compared to independent expert ratings of chronic illness care characteristics (Bonomi et al., 2002). It delivers a score that is useful to do periodically to do periodically in order to trend scores based on system changes. However, generating the score mandates the availability other data, and there is some subjectivity of interpretation that may influence scoring.

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(Last Updated: 8/8/2012 12:24:28 PM by Deborah Mayer)

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