Model Programs - Chronic Care Model

The elimination of health disparities is at the core of La Clínica's mission. We strive to eliminate health disparities in our patient population and improve outcomes in chronically ill patients by employing the "Chronic Care Model" in our Clínical practice. The Chronic Care Model is a population-based model that centers on tracking patients with certain chronic conditions, assuring that they receive evidence-based care, and actively aiding them to participate in their own care. The model consists of six components: self-management, decision support, Clínical information system, organization of healthcare, system design, and community. To improve care for patients with chronic conditions, we work toward improving agency-wide initiatives in these six areas.

La Clínica began to apply the Chronic Care Model to patient care after joining the U.S. Bureau of Primary Health Care's (BPHC) National Health Disparities Collaborative in 1999. The collaborative consists of over 200 community health centers nationwide, all of which serve poor, minority, migrant, and homeless populations. La Clínica joined the BPHC's Diabetes Collaborative in 1999, the Asthma Collaborative in 2002, and the Diabetes Prevention Collaborative in 2002.

La Clínica de La Raza, Inc. ©1997-2008 Post Office Box 22210, Oakland, CA 94623-2210 Phone: (510) 535-4000 Fax: (510) 535-4189