This training manual was developed to help health centers and other primary care organizations improve chronic care. In addition to describing three models that may be used to improve care people with chronic conditions, the manual also contains specific changes, resources, and tools for diabetes, asthma, and depression.

The manual was originally developed as a training and spread tool for the Health Resources and Services Administration Bureau of Primary Health Care to support the national quality improvement initiative, Health Disparities Collaboratives. The manual was published in April 2002.

Download the zipped file containing four PDF files of the manual.