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How do you know what you should be reading when you want to learn about making improvement in a specific clinical area? Sifting through all of the literature can be overwhelming.

The Literature section on IHI.org features books and peer-reviewed articles, chosen by our Advisors as some of the best available literature in a specific Topic or Subtopic. Improving Chronic Illness Care, a national program of The Robert Wood Johnson Foundation, has compiled a comprehensive list of peer-reviewed articles on improving chronic care and, specifically, on improving diabetes care.  Many of these articles are listed here.  In addition, you will find stories that have appeared as features on IHI.org.

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  • Suggest your favorite books and articles. We encourage you to submit suggestions for Literature by clicking the Suggest Literature button below. All Literature recommended by users will be reviewed by our Advisors before being published on the site.
 
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Improved care for patients with congestive heart failure

Jacobsen D, Sevin C. Improved care for patients with congestive heart failure. Joint Commission Journal on Quality and Patient Safety. 2008 Jan;34(1):13-19.

The sixth article in a series about IHI's 5 Million Lives Campaign, the authors describe delivering reliable, evidence-based care for patients with congestive heart failure (CHF) is part of an overall strategy to reduce medically induced harm. Seven key components of care tailored to the patient’s clinical condition and comorbidities are discussed.

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Protecting patients from harm: Taking aim at heart failure

Chojnowski D. Protecting patients from harm: Taking aim at heart failure. Nursing2007. 2007 Nov;37(11):50-55.

This article, the fourth in a series highlighting clinical interventions promoted in IHI's 5 Million Lives Campaign, describes how to apply best practices for managing heart failure to help achieve this goal: “deliver reliable, evidence-based care for congestive heart failure to avoid readmissions.”

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Best-practice protocols: Improving CHF outcomes

Howell N, Kniceley C. Best-practice protocols: Improving CHF outcomes. Nursing Management. 2007 Nov;38(11):41-45.

This article focuses on improving congestive heart failure (CHF) outcomes as part of the Institute for Healthcare Improvement's 5 Million Lives Campaign to protect patients from five million incidents of medical harm. The series of articles presents a nursing management perspective on the six interventions recommended by the Campaign.

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A model patient navigation program

Freeman HP. A model patient navigation program. Oncology Issues. 2004 Sept/Oct;19:44-46.

This article describes the origins of the patient navigation model first developed by Dr. Harold Freeman at Harlem Hospital in New York. His Patient Navigator Program assigns personal guides to help disadvantaged cancer patients and their families navigate the cancer treatment process and overcome health disparities obstacles that may limit their access to quality care. While the model was based on breast cancer care, the concept of patient navigation can be applied to the care of patients with other diseases.

 

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Can a chronic care model collaborative reduce heart disease risk in patients with diabetes?

Vargas RB, Mangione CM, Asch S, et al. Can a chronic care model collaborative reduce heart disease risk in patients with diabetes? Journal of General Internal Medicine. 2007 Feb;22(2):215-222.

This study examined the impact of participation in a collaborative implementing the Chronic Care Model (CCM) on the reduction of cardiovascular disease risk in patients with diabetes. Over a one-year interval, this collaborative intervention using the CCM lowered the cardiovascular disease risk factors of patients with diabetes who were cared for in the participating organization's settings.

 

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A residency clinic chronic condition management quality improvement project

Halverson LW, Sontheimer D, Duvall S. A residency clinic chronic condition management quality improvement project. Family Medicine. Feb 2007;39(2):103-111.

This article describes a six-component chronic disease management model of family medicine described by the Future of Family Medicine (FFM) Project Leadership Committee. The objective of the project was to implement and assess a QI project guided by the components of a chronic disease management model and FFM new model characteristics.

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Delivering improved chronic disease outcomes in primary care: An affordable, achievable, and sustainable pragmatic approach for primary care — The Foundation Program

Nixon D, Smith M, Chamberlain S. Delivering improved chronic disease outcomes in primary care: An affordable, achievable, and sustainable pragmatic approach for primary care — The Foundation Program. April 2006;33(2):108-114.

A group in New Zealand developed and validated an innovative, affordable approach for delivering improved chronic disease outcomes. The Foundation Program delivered improved chronic disease outcomes and primary CVD risk management for patients in an affordable and achievable way within a primary care setting. The article emphasizes that general practice benefits from operating as a system rather than as individual practitioners.

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Taking the pulse of health care systems: Experiences of patients with health problems in six countries

Schoen C, Osborn R, Huynh PT, et al. Taking the pulse of health care systems: Experiences of patients with health problems in six countries. Health Affairs. Nov 2005; [Epub ahead of print].

This paper reports on a 2005 survey of sicker adults in Australia, Canada, Germany, New Zealand, the United Kingdom, and the United States. Sizable shares of patients in all six countries report safety risks, poor care coordination, and deficiencies in care for chronic conditions.

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Implementation of systems strategies for breast and cervical cancer screening services in health maintenance organizations

Goins KV, Zapka JG, Geiger AM, et al. Implementation of systems strategies for breast and cervical cancer screening services in health maintenance organizations. American Journal of Managed Care. 2003 Nov;9(11):745-755.

This study concludes that organizations seeking to improve performance of breast and cervical cancer screening should consider multiple strategies aimed at multiple targets and should ensure that strategies used for one type of cancer are considered for others.

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Does the chronic care model serve also as a template for improving prevention?

Glasgow RE, Orleans CT, Wagner EH. Does the chronic care model serve also as a template for improving prevention? Milbank Quarterly. 2001;79(4):579-612, iv-v.

An evidenced-based model of chronic illness management is shown to apply equally to preventive interventions. Successful examples of prevention programs in cancer screening and counseling for health behavior change illustrate the utility of the model for prevention and across different types of health care organizations.

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