This clinical practice guideline (CPG) has been developed under a project conducted by the American Medical Directors Association (AMDA), and is intended for the members of the interdisciplinary team in long-term care facilities, including the medical director, director of nursing, practitioners, nursing staff, consultant pharmacist, and other professionals such as therapists, social workers, dietitians, and nursing assistants who care for residents of long-term care facilities.

The Ottawa Personal Decision Guide is for people who are facing tough decisions, such as those with critical health issues. It will help you instruct the patient on how to identify personal needs, plan next steps, track progress, and communicate views to others involved when making health care decisions.

The 5 A’s Behavior Change Model is intended for use with the Improving Chronic Illness Care Chronic Care Model (CCM), and was created with the goal of ensuring that all patients have a Self-Management (SM) Action Plan informed by and including all the 5 A’s elements (Assess, Advise, Agree, Assist, Arrange).

As part of it's Annual Conference educational programs, AAACN offers a CCTM Track designed to cover all aspects of CCTM practice.

In 2007 IHI launched initiatives to translate the Triple Aim concept into specific actions for change. The result was a model and a set of design concepts to fulfill the Triple Aim in practice.

A simple, essential measure for patient engagement and better practice. Asking patients this one question can lead to better outcomes.

The Healthcare Effectiveness Data and Information Set (HEDIS) is one of the most widely used sets of health care performance measure in the United States. The term “HEDIS” originated in the late 1980s as the product of a group of forward-thinking employers and quality experts, and was entrusted to NCQA in the early 1990s. The NCQA measurement development process has expanded the size and scope of HEDIS to include measures for physicians, PPOs and other organizations.

A sample checklist for patients about to be discharged to ensure that they have a full understanding of their condition and what they need to do as a result. 

Guidelines and rationale for engaging the patient in the decision making processes related to their condition and care.

The health care experience is taxing and confusing for patients and their families. The complexity often leads to disengagement and poor adherence to the plan of care. The Bridge Model is designed to integrate into any health care system in order to address these issues.