Here are various resources relevant to the components of the Care Model Change Package.

Care Model Component #1: Delivery System Design
 
Putting Prevention into Practice, a Step-by-Step Guide to Delivering Clinical Preventive Services: A Systems Approach, Assessment Tool,
developed by the Agency for Healthcare Research and Quality of the U.S. Department of Health and Human Services, is an easy to follow guide takes you through the process of formalizing your system for delivering clinical preventive services.

• Integrating Diabetes Guidelines into the Delivery System of Care is a PowerPoint presentation of the Diabetes Care Model, by Dr. David McCulloch.
• Developed by Improving Chronic Illness Care (ICIC), a national program of The Robert Wood Foundation, this document compares four diabetes system design innovations: cluster visits for diabetes care, chronic care model, case management, and planned visits.
• Improving Chronic Disease Care in the Real World: a Step-by-Step Approach is an article from AAFP that follows a network of physicians on the first leg of a 13-month journey to redesign their diabetes care.
• New rules for effective healthcare, proposed by the Quality Chasm Report by the Institute of Medicine, are layed out in this table of ten current ineffective rules along with proposed changes. 
   

Care Model Component #2: Clinical Information Systems

• Lumetra offers this information sheet on disease registries, including their components, types, and descriptions with a list of recommended registries.
• Read California HealthCare Foundation‚ report on 16 registry applications intended to assist physician and provider organizations interested in purchasing a registry product.
• CAFP does not endorse one registry over another, but we have researched a few and have tabulated basic information of both free and commercial registries. Read our diabetes registry recommendations.
• Doctor's Office Quality -- Information Technology (DOQ-IT) promotes the adoption of electronic health record (EHR) systems and information technology (IT) in small- and medium-sized physician offices. Read more about DOQ-IT here.
• IHI Quality Healthcare‚ site contains information on developing processes for and tips on using registries.
• California Diabetes Prevention and Control Program provides current evidence-based diabetes guidelines, including a diabetes flowsheet, that are consistent with the American Diabetes Association‚ Clinical Practice Recommendations.
• Clinical Microsystems‚ Assessing Your Practice is a comprehensive tool that will help you gather data about your practice.

Care Model Component #3: Decision Support

• Agency for Healthcare Research and Quality (AHRQ)‚ National Guideline Clearinghouse is a public resource for evidence-based clinical practice guidelines, created by AHRQ in partnership with the American Medical Association and the American Association of Health Plans.
• Centers for Disease Control and Prevention (CDC)‚ Diabetes Public Health Resource site has guidelines, data and trends, as well as information on opportunities for educational conferences.
• This Diabetes Self Management Guide from the Health Disparities Collaborative of the Texas Association of Community Health Centers, helps patients list goals that will help them gain and maintain diabetic control to reduce damage to the blood vessels and nerves
• Improving Chronic Care includes information about the Chronic Care Model, and presents the case from both a patient perspective and a business point of view.
• IHI Quality Healthcare has tips on embedding evidence-based guidelines in the care delivery system.
• Lumetra provides a number of resources to assist providers and community groups in their diabetes outreach to the Latino community. All materials are available for download and distribution to patients and families, and are available both in English and Spanish.

Care Model Component #4: Self-Management Support

• American Diabetes Association (ADA)‚ list of resources includes detailed pages on: types of diabetes; nutrition and recipes; weight loss and exercise; diabetes research and prevention; advocacy and legal resources, and many other relevant topics.
• The National Diabetes Education Program (NDEP), a partnership of the National Institutes of Health, the Centers for Disease Control and Prevention, and more than 200 public and private organizations, offers various clinical practice tools and patient education materials that will help you to identify and counsel patients with pre-diabetes to help prevent the onset of the disease and work with patients with diabetes to take control and prevent the devastating complications.
• NDEP‚ Team Based Care Guidelines is designed to help organizational leaders in health care systems and purchasers of health care to implement multidisciplinary team care for people with diabetes in all clinical settings.
• California Diabetes Prevention and Control Program has many resources for you and your patients, an easy-to-use portal to help organizations exchange information, and tools to support their work to prevent or control diabetes or other chronic diseases. Go to their site and select "resources.
• Improving Chronic Illness Care (ICIC) offers a PowerPoint presentation on patient self-management to help people understand their health behaviors and develop strategies to live as fully and productively as they can.
• California Diabetes Prevention and Control Program (DPCP)‚ Diabetes Health Record Card helps people with diabetes keep track of the basic tests they need and how often they need them. It also provides a place to record and remember the results of these tests. A great self management tool for patients and educational tool for health care providers. Download cards in English and 13 other languages here.

Care Model Component #5: Community Resources and Policies

• AARP offers an online "Medicare Drug Benefit Calculator" where patients can type in amount spent on drugs annually and evaluate how much they will save with the new Medicare Drug benefit.
• Area Agency on Aging (AAA) has a list of offices by county as well as information on community resources and organizations.
• California Health Advocates provides advocacy services for California‚Äôs Medicare beneficiaries.
• Medicare and You 2005, Beneficiary Handbook is a guide to the recent changes to Medicare that includes information on your patients‚ Medicare benefits, and Medicare privacy rights.
• U.S. Department of Health and Human Services Indian Health Services' National Diabetes Project is dedicated to developing, documenting, and sustaining a public health effort to prevent and control diabetes in American Indian and Alaska Native peoples. Visit their site here.
• Lumetra offers strategies for providers to increase use of diabetes preventive services and help prevent complications.

Care Model Component #6: Organization and Health Systems

• National Diabetes Education Program (NDEP)‚ Better Diabetes Care Toolbox includes a variety of patient education tools, evidence-based guidelines, and cost assessments of diabetes tools.
• NDEP‚ Determining Needs and Setting Priorities for System Changes is a list of tools to help you evaluate your practice and redesign practice systems.
• Improving Chronic Illness Care (ICIC) has information on all components of the chronic care model, as well as practical assessment tools to guide quality improvement efforts & evaluate your progress in chronic care.
• American Association of Healthcare Administrative Management is a professional organization in healthcare administrative management that offers publications, conferences and seminars, benchmarking, professional certification and networking offer numerous opportunities for increasing the skills and knowledge that are necessary to function effectively in today's health care environment.Visit their site here.
• Diabetes at Work‚ Business & Managed Care Diabetes & Health Resource Kit is a toolkit designed to help businesses and managed care companies assess the impact of diabetes in the workplace. It also provides easy-to-understand information for employers to help their employees manage their diabetes and take steps toward reducing the risk for diabetes-related complications such as heart disease.
• Improving Chronic Illness Care (ICIC)'s Business Case for Disease Management is an analytical tool that assesses financial and other business implications (e.g., market share, exposure to litigation, image) of alternative actions. It outlines the financial benefits of improving care for different delivery models and different chronic condition environments. Included are questions often posed by system leaders, as well as synopses of chronic care research interventions that demonstrate short-term cost savings.