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2024-2025 Agency for Healthcare Research and Quality’s Learning Collaborative Person-Centered Care Planning for Persons with or at Risk for Multiple Chronic Conditions.

Learning Collaborative meeting summaries:

Session #1 on June 11, 2024 – Kickoff meeting, defining key elements of PCCP and what works in a real-world setting

Session #2 on August 13, 2024 – Patient Priorities Care, Care Management Plus, GUIDE models; baseline environmental scan results

Session #3 on September 30, 2024 – Chronic Care Model in Janus Healthcare, 4Ms in Northwest Health, and social determinants of health in low-resource settings

Sessions #4/5 on November 4, 2024 – Implementing a PCCP initiative using Kotter’s model of change, and Contextualizing Care

Session #6 on January 21, 2025 – Rapid scan results, summarizing our learnings, next steps

About Multiple Chronic Conditions Resource Center

This virtual resource center provides healthcare professionals, patients and policy makers with current updates on policy and practice for patients living with more than two chronic conditions – and associated symptoms.

The Senate Finance Committee, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Agency for Healthcare Research and Quality, Centers for Medicare and Medicaid among other state and federal agencies have recognized the need for effective, safe, comprehensive care for this escalating patient population.

The Multiple Chronic Conditions Resource Center provides FREE resources to educate, update and promote best practices that ensure optimal patient-centered outcomes.

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