Skip to main content

Table 3 Assessment of Chronic Illness Care (ACIC) for type 2 diabetes patients in the region

From: Implementation of a program for type 2 diabetes based on the Chronic Care Model in a hospital-centered health care system: "the Belgian experience"

ACIC components

Score 2003

Score 2007

Max score

Part 1: Organization of the Healthcare Delivery System

2,7

7

66/6

-Overall organizational leadership in chronic illness care

2

7

11

-Organizational goals for chronic care

1

7

11

-Improvement strategy for chronic illness care

1

9

11

-Incentives and regulations for chronic illness care

0

0

11

-Senior leaders

6

10

11

-Benefits

6

9

11

Part 2: Community Linkages

0,3

5,7

33/3

-Linking patients to outside resources

1

5

11

-Partnership with community organizations

0

6

11

-Regional health plans

0

6

11

Part 3: Practice level

   

Part 3a: Self-management support

1,3

6,3

44/4

-Assessment and documentation of self-management needs and activities

3

6

11

-Self-management support

1

6

11

-Addressing concerns of patients and families

1

6

11

-Effective behaviour change interventions and peer support

0

7

11

Part 3b: Decision support

2,5

7,3

44/4

-Evidence-based guidelines

3

8

11

-Involvement of specialists in improving primary care

2

9

11

-Provider education for chronic illness care

2

5

11

-Informing patients about guidelines

3

7

11

Part 3c: Delivery System Design

1,3

4,5

66/6

-Practice team functioning

0

5

11

-Practice team leadership

1

9

11

-Appointment system

1

2

11

-Follow-up

2

3

11

-Planned visits for chronic illness care

0

0

11

-Continuity of care

4

8

11

Part 3d: Clinical information systems

0,6

2,4

55/5

-List of patients with specific conditions

1

2

11

-Reminders tot providers

0

0

11

-Feedback

0

4

11

-Information about relevant subgroups of patients needing services

0

0

11

-Patient treatment plans

2

6

11

Overall ACIC score

1,45

5,5

11

  1. The ACIC is organized such that the highest score ("11") on any individual item, subscale or the overall score indicates optimal support for chronic illness.
  2. Between "0" and "2" = limited support for chronic illness care
  3. Between "3" and "5" = basic support for chronic illness care
  4. Between "6" and "8" = reasonably good support for chronic illness care
  5. Between "9" and "11" = fully developed chronic illness care
Back to article page

BMC Health Services Research

ISSN: 1472-6963

Contact us