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<h1>Toolkit for Implementing the Chronic Care Model in an Academic Environment</h1>
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<h2>Glossary</h2>
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<h3>Table of Contents</h3>
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<ul>
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<li><a href="/prevention/curriculum/chroniccaremodel/index.html">Toolkit for Implementing the Chronic Care Model in an Academic Environment</a></li>
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<li><a href="/prevention/curriculum/chroniccaremodel/chronicack.html">Acknowledgments</a></li>
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<li><a href="/prevention/curriculum/chroniccaremodel/chroniccare1.html">1. Engaging Leadership</a></li>
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<li><a href="/prevention/curriculum/chroniccaremodel/chroniccare2.html">2. Harnessing the Academic Culture</a></li> <li><a href="/prevention/curriculum/chroniccaremodel/chroniccare3.html">3. Implementing the Chronic Care Model into Practice</a></li><li>
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<a href="/prevention/curriculum/chroniccaremodel/chroniccare4.html">4. Health Professions Education for Chronic Care</a></li> <li> <a href="/prevention/curriculum/chroniccaremodel/chronicgloss.html">Glossary</a></li> </ul>
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<article role="article" class="contextual-region node node--type-ahrq-publication node--unpublished node--view-mode-full clearfix" about="/prevention/curriculum/chroniccaremodel/chronicgloss.html">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><strong>Group visit:</strong> Similar to an individual planned visit but designed for groups of patients, rather than individual patient-provider appointments.</p>
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<p><strong>Lean principles:</strong> Derived from the Toyota Production System, lean principles in quality improvement increase efficiency of a system by eliminating wasteful in producing products or services. Lean thinking consists of: Defining value in terms of the customer; identifying the "value stream" or the specific actions necessary to produce a product or service; eliminating waste and making the process flow; allowing the customer's definition of value to pull the product or service through the process; and perfecting the process by continually removing waste.</p>
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<p><strong>Model for improvement:</strong> A methodology for continuously improving performance.<a id="PSDA" name="PSDA"> </a></p>
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<p><strong>Plan-Do-Study-Act Cycles:</strong> "The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change by planning it, trying it, observing the results, and acting on what is learned," according to the <a href="http://www.ihi.org/knowledge/Pages/HowtoImprove/default.aspx">Institute for Healthcare Improvement</a>.</p>
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<p><strong>Planned visit:</strong> An encounter with the patient initiated by the practice to focus on aspects of care that typically are not delivered during the acute care visit.<a id="PBLI" name="PBLI"> </a></p>
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<p><strong>Practice-based learning and improvement:</strong> One of six competencies a residency program must require of its residents, as outlined by the Accreditation Council for Graduate Medical Education (<a href="http://www.acgme.org/acgmeweb/">ACGME</a>). "Residents must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices." The other competencies are: medical knowledge, patient care, systems-based practice, professionalism, and interpersonal and communication skills.</p>
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<p><strong>Registry:</strong> An information system that tracks individual patients as well as populations of patients. </p>
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<p><strong>Self-management support:</strong> An endeavor in which the healthcare team partners with patients to improve their ability to manage their conditions day to day.<a id="SBP" name="SBP"> </a></p>
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<p><strong>Systems-based practice:</strong> One of six competencies a residency program must require of its residents, as outlined by the Accreditation Council for Graduate Medical Education (<a href="http://www.acgme.org/acgmeweb/">ACGME</a>). "Residents must demonstrate an awareness of a responsiveness to the larger context and system of health care the ability to effectively call on system resources to provide care that is of optimal value." The other competencies are: medical knowledge, patient care, practice-based learning and improvement, professionalism, and interpersonal and communication skills.</p>
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<div data-contextual-id="context_block:context=citation&reaction_id=blocks&block_id=68cfb074-24da-4680-9a96-cdb022b3ebb0:langcode=en" data-contextual-token="zvnTeYSozxOcifNxfZ9rrF8zpPZMKL_bnanTbknklYY"></div>
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<div id="page-reviewed" class="body-copy-italic">Page last reviewed October 2014</div>
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<div id="page-created" class="body-copy-italic">Page originally created January 2008</div>
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<p>
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<span class="citation-hdr">Internet Citation:</span> Glossary. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD.<br>
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<span class="citation-url">https://archive.ahrq.gov/prevention/curriculum/chroniccaremodel/chronicgloss.html</span>
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