CCM guidelines serve as case study for health system change

15 October 2014

A new report examines the implementation of clinical care management (CCM) guidelines as a case study for understanding how to achieve large-scale change within British Columbia’s health system.

Clinical care management is an area of focus in the BC Ministry of Health’s Innovation and Change Agenda. Its goal is to implement a guideline-driven, evidence-informed system that will improve the quality, safety, and consistency of key clinical services and improve patient experiences of care.

To date, 11 clinical care areas have been identified for guideline implementation in BC; however, the approach to implementation varies within each health authority, depending on the local context.

The report outlines factors that help or hinder province-wide implementation of CCM guidelines in different contexts. It is informed by focus group sessions and interviews with CCM implementation experience, including clinicians, administrators, senior executives, and board members from every health authority in the province.

Initial findings of these sessions were validated through an online survey distributed to individuals with CCM implementation experience.

Based on this consultation process, two sets of recommendations were developed. The first provides action-oriented strategies for improving the success of future CCM initiatives. The second outlines a series of six broad guidelines and supporting strategies for managing large-scale transformation within BC’s health system.

The study was conducted by InSource Research Group following a competitive call for applications facilitated by MSFHR. Funding was provided by the BC Patient Safety & Quality Council and administered by MSFHR.

> Download the report (PDF)