This section will assist in identifying primary components of self-management in the CCTM role, including assisting patients with identifying barriers in self-management. The CCTM RN will provide comprehensive care recognizing the patient as the source of control in his or her care process. This section contains Structure, Process, and Outcomes in providing support for the self-management of the patient.

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Patient-Reported Outcomes in Performance Measurement

Patient-reported outcomes (PROs) are defined as “any report of the status of a patient’s (or person’s) health condition, health behavior, or experience with healthcare that comes directly from the patient, without interpretation of the patient’s response by a clinician or anyone else.” NQF, with funding from the Department of Health and Human Services, brought together a diverse set of stakeholders who could facilitate the groundwork for developing, testing, endorsing, and implementing PRO performance measures.

Lean Six Sigma

Lean Six Sigma is simply a process for solving a problem. It consists of five phases: Define, Measure, Analyze, Improve, & Control. This process is also known as DMAIC, the acronym for thosefive phases. DMAIC is a five-step method for improving existing process problems with unknown causes.