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Integrating Chronic Care and Business Strategies in the Safety Net: A Toolkit for Primary Care Practices and Clinics


This toolkit is for safety net providers interested in implementing the Chronic Care Model (CCM) effectively and sustainably at their organizations while attending to their financial realities. The toolkit provides a step-by-step practical approach to guide primary care teams through four phases of quality improvement.

The toolkit:
  • Sequences and describes the specific practice changes involved in CCM implementation
  • Integrates strategies designed to improve the business case for quality improvement
  • Links more than 60 commonly used quality improvement tools with the relevant changes
  • Includes examples from practices that have made quality improvement pay


California Health Care Safety Net Institute; MacColl Institute for Healthcare Innovation; RAND Health

Funding Sources

Agency for Healthcare Research and Quality

QualityTool Topic



  • Release Date: 08/2008
  • Original Summary: 10/2008
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.

Last updated: October 09, 2013.