Diabetes being one of the chronic conditions with a lot of comobidties is of interest in this discussion. It is a major of cause of heart disease and stroke among adults in the United States. Also, coupled with lower extremity amputations, blindness and kidney failure. Comprehensive models of care such as the original chronic care model advocate for evidence- based health care system changes that meet the needs of growing numbers of people who have chronic disease. CCM was initiated to provide patients with self- management skills and tracking systems. CCM represents a well- rounded approach to constructing medical care through partnerships between health systems and communities (CDC, 2013).
The chronic care model (CCM) is a systematic approach used in reconstructing medical care to create partnerships between health systems and communities ( CDC, 2013). It is noted that despite the robust evidence- based guidelines for diabetes goals, the majority of patients do not reach
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Such include, the health care system, self management support, decision support, delivery system design, clinical information system and community resources and policies. All these components are put together to support and create more effective health care delivery systems. The CCM has helped tremendously in safe management support for diabetes. It is found that diabetes self- management education has generally improved psychosocial and clinical outcomes in patients with diabetes. It is also noted that facilitators, such as certified diabetes educators or nurses provide instructions on various topics such as medication compliance, goal setting, foot care and interpretation of laboratory results (CDC, 2013). Also, follow up telephone calls allow the clinicians to monitor patients progress towards meeting diabetes management goals that are set during individual hospital