Chronic Illness & Care Models
A framework that improves chronic illness outcomes through coordinated care and patient self-management.
What is the Chronic Care Model?
Insurance provided through a person’s workplace.
What is employer-based health insurance?
A 1990 civil rights law broadly prohibiting discrimination against individuals with disabilities in employment, transportation, public accommodations, and more.
What is the Americans with Disabilities Act (ADA)?
A multidimensional concept reflecting an individual’s physical health, psychological well-being, social relationships, and environment.
What is Quality of Life (QOL)?
Health system organization, community resources, self-management support, delivery system design, decision support, and clinical information systems.
What are the six components of the Chronic Care Model?
A profound and historic shift in disability public policy that identified people with disabilities as a class/minority group for the first time and only applies to programs that receive federal funding.
What is Section 504 of the 1973 Rehabilitation Act?
A patient who is informed, engaged, and involved in their care decisions.
What does an “activated patient” mean in the Chronic Care Model?
Frequent changes in health coverage due to income or employment changes.
What is insurance churn?
Discrimination or prejudice against people with disabilities based on the belief that typical abilities are superior.
What is ableism?
Physical health, psychological well-being, social relationships, and level of independence.
What are common domains of Quality of Life?
Helping patients develop skills and confidence to manage their illness day-to-day.
What is self-management support?
The exclusion and segregation of people with disabilities is...
What is discrimination?
A framework explaining adaptation to illness based on personal, environmental, and coping factors.
What is Moos’ Crisis and Coping Model?
A federal health insurance program for people age 65+ and certain individuals with disabilities.
What is Medicare?
A subtle, often unintentional comment or behavior that communicates negative assumptions about disability.
What is a microaggression in the context of disability?
Through pain, fatigue, reduced work capacity, social isolation, or financial strain.
How does chronic illness impact Quality of Life?
Structuring care teams and workflows to provide coordinated and proactive care.
What is delivery system design?
ADA history began when people with disabilities challenged societal barriers that excluded them creating the establishment of local groups to advocate for their rights. What was the first movement?
What is the independent living movement?
Challenged the notion that people with disabilities needed to be institutionalized.
Social support, access to care, financial resources, or health system factors.
What are environmental factors in Moos’ model?
A private insurance alternative that provides Medicare benefits through managed care plans.
What is Medicare Advantage (Part C)?
There are __ Titles in ADA?
5 Titles
Title I → Employment
Title II → State & local government
Title III → Public accommodations (businesses)
Title IV → Telecommunications
Title V → Miscellaneous protections
A person may have significant disability but still report high life satisfaction and meaning.
How is QOL different from physical functioning?
Integrating evidence-based guidelines and expertise into clinical decision making.
What is decision support?
Section 504 of the Rehabilitation Act of 1973 was modeled after earlier civil rights laws, specifically: there are two
What is Title VI of the Civil Rights Act of 1964?
Prohibited discrimination based on race and national origin in programs receiving federal funding
AND
What is Title IX of the Education Amendments of 1972
Prohibited discrimination based on sex in federally funded education programs
A condition that lasts for a long period of time and often requires ongoing management rather than cure.
What is a chronic illness?
It disrupts continuity of care, medication access, and patient/provider relationships.
How does the insurance churn negatively impact people with chronic illness?
NYS violated this 1999 US Supreme Court Decision ruling that unjustified segregation of people with disabilities in institutions is illegal discrimination under the Americans with Disabilities Act (ADA).
What is the Olmstead Act?
What is Olmstead v L.C.?
Physical health, psychological well-being, social relationships, and level of independence.
What are common domains of Quality of Life?
A framework that explains how multiple social identities and systems of oppression interact to shape a person’s experiences, opportunities, and barriers
What is intersectionality?
Paradigm shift from medical to civil rights issue occurring in 1990?
What is Americans with Disabilities Act of 1990?