CCM Programme. The problem. Increasing acute medical admission rate Rapidly growing rate of diabetes in population Concern re primary care management and patient self management. Acute Medical Demand - MMH. We could wait for help or………. How we did it – CCM programme.
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Based on Wagner’s Chronic Care model
Intensity of Intervention
Severity of Condition
The CCM motivational team
In addition – Maori/PI were just as likely or more likely to be prescribed key medications compared with non-Maori/PI
Emphasis on the team approach