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Healthc Pap. 2016;15 Spec No:62-5; discussion 97-123.

A First Step on the Journey to High-Quality Chronic Illness Care.

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Group Health Research Institute Senior Investigator, Director (Emeritus), MacColl Center, Seattle, Washington.


The Atlantic Healthcare Collaboration (AHC) conducted a quality improvement initiative to improve chronic disease prevention and management for the four Atlantic provinces and their regional health authorities. Leaders and front-line teams carried out a range of projects, each suited to the needs of that region. This initiative helped build the case for improvement, increased the motivation to change, exposed participants to proven ideas for improvement and supported participating organizations in developing the capacity and culture to test, implement and spread improvements. The AHC also created a politically safe learning community with the potential to support and sustain the work of chronic care improvement over time. In carrying this initiative forward, the greatest challenge will be the magnitude of work to be done.

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