Partnering in Self-Management Support: A Toolkit for Clinicians


Partnering in Self-Management Support: A Toolkit for Clinicians


This toolkit is intended to give busy clinical practices an introduction to a set of activities and changes that support patients and families in the day-to-day management of chronic conditions. Experienced organizations and teams will find tested resources and tools. Practices that are just beginning to reorganize for patient-centered care as well as those experienced in collaborative self-management will find tested resources and tools and high-leverage changes that offer a number of ways to begin trying them with a small number of patients.

The toolkit is divided into the following sections:

  • Introduction
  • Collaborative care: Cycle of self-management support
  • Building relationships
  • Gathering clinical and patient experience data
  • Provider exam
  • Team care: Nurse and medical assistant coaching and support
  • Providing ongoing follow-up
  • Sustaining self-management support: Training for practice teams
  • Sustaining self-management support: Community partnerships
  • Sustaining self-management support: Partnering with patients and families
  • Sustaining self-management support: The chronic care model

Free registration is required to access this tool.


Institute for Healthcare Improvement

Funding Sources:

Robert Wood Johnson Foundation


Release Date: 2009
Original Summary: March 2011
Last Updated: 03/12/14

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