[Solved]: The Chronic Care Model includes 6 system components:…

The Chronic Care Model includes 6 system components: Organization of health care, community resources and polices, self-management, delivery system design, decision support, and clinical information systems Chronic disease management needs continuity of care and care coordination. Systems level intervention: accountable care organizations, comprehensive primary care program, patient-centered specialty practice, and bundle care. Individual level intervention: patient engagement in self-care (inform, engage, empower, and partner with patients and their communities) through personal technologies, social media Assignment this week: Use the six system components in the chronic care model to propose your plans of care for older adult patients with chronic disease during COVID-19 pandemic in the scenario described below. You are a clinical director of a busy outpatient department affiliated with a large urban medical center. About 70% of the patients served by your department are older adults aged 65 or older and with at least one chronic disease. Recently, your outpatient service has been altered due to the COVID-19 pandemic. At least two licensed care providers are deployed to support inpatient service and emergency department in the medical center. About one half of patient-provider encounters in your department are done virtually, which creates some difficulties for older clients who live alone, have limited skills for computer or other communication technologies, or with sensory limitations (hearing, seeing, etc.). Hospital discharged patients are instructed to call their primary care providers in your department for follow-up and for continuity of care. Patients who have flu symptoms call your department and want to have a COVID test or COVID vaccine. Family members also call your department to seek out advice and resources when they need to provide care for their sick parents/relatives at home. The scenario may not give you a full picture of the case but do your best to elaborate your plans for providing continuity of care and care coordination for older adults with chronic disease served by the outpatient department during the COVID-19 pandemic.