APPENDIX B:
Theory of Change
The key activities in this guide align with the PHMI theory of change for how practices can increase utilization of comprehensive care protocols for controlling high blood pressure and comprehensive diabetes care.
- Effective implementation of chronic care management protocols.
- Patients living with diabetes and hypertension have a care plan that effectively addresses their medical, behavioral and social health needs.
- Practices have needed resources and support.
FIGURE 22: PHMI PEOPLE WITH CHRONIC CONDITIONS DRIVER DIAGRAM.
