2. Harnessing the Academic Culture
There is perhaps no more complex system than an academic
medical center. Although implementing the Chronic Care Model in this
environment is extremely challenging, it is also very rewarding.
Academic physicians work within multiple missions that
include the expectation of promotion and academic success in addition to the
delivery of excellent care. The academic teaching environment also brings with
it the ability to stay current and to demonstrate and promote evidence-based
medical decisionmaking.
These high-performing Academic Chronic Care Collaborative
teams were able to overcome the barriers presented by their large bureaucracies
and align the differing roles within the programmatic and care environments to
successfully implement and sustain the Chronic Care Model. They also created a
culture of innovation by overcoming fear of failure, reinforcing improvement
behavior, and gathering data efficiently to demonstrate success and identify
new areas for change.
By engaging residents in the process, the teams established
effective communication and coordination systems, and residents embraced the
Chronic Care Model as their own.
Residents,
Staff, and Patients Working as a Team
Creating a
Culture of Innovation
Engaging
Residents in Change
Creating
Effective Communication and Coordination
Return to Contents
Proceed to Next Section