Adults With Chronic Conditions Change Package

The Adults With Chronic Conditions Change Package helps health centers define their 2026 population health management vision and develop high-impact SMARTIE goals for adults with diabetes and hypertension. It includes a SMARTIE goal guide, key driver diagrams with evidence- and best practice-based change strategies for improving high blood pressure control and diabetes management, equity considerations, and examples of outcome, process, and balancing measures for a PHMI measurement strategy. The package supports health centers in aligning evidence with local context, implementing and sustaining interventions, and spreading successful strategies.