The Chronic Care Model (CCM) is a proactive, patient-centered approach to improve the management of chronic diseases, starting with patients living with diabetes and/or hypertension.

It improves healthcare outcomes for patients by strengthening six core elements: healthcare leadership and delivery system design; decision support and clinical information systems; patient self-management support and community partnerships.

In this. way, CCM partners with the patients to improve prevention and control of their disease, in order to delay or prevent complications like heart attack and stroke.

The Diabetes One Stop Shop is one manifestation of CCM – patients are educated to be pro-active, and the health system helps patients by providing multiple consultation and education opportunities during a single visit.