Report of the Evaluation of Chronic Care Management in Counties Manukau: Phase One

Abstract

This external evaluation was commissioned to explore broad level outcome measures from the Chronic Care Management (CCM) programme. It was also designed to give an overview of factors that might enable or hinder programme implementation and growth. Evaluation objectives More specifically, the objectives of this evaluation included to: Use available CCM data to describe clinical outcomes and compare these with international benchmarks Explore outcomes across PHO’s Describe variation in implementation processes across PHO’s Describe practice characteristics that can be recognised or built on to support CCM Describe how decision support has been implemented Identify key stakeholder questions and concerns about implementation effectiveness, costs, health gains, monitoring, opportunities for improvement and opportunities to extend the model to other health problems.