Table 1.

Chronic Care Model^a components and descriptions.

Chronic Care Model components	Descriptions
Self-management support	Designed to inform the patient and family by providing training and promotion to foster self-management. The eCCMb,c further adds 24/7 access, convenience, reminders, and alerts.
Decision support	Emphasizes the goal to improve medical decisions for providers and patients to access current evidence-based care guidelines, reminders, and information buttons.
Clinical information systems	Collects, maintains, and utilizes patient registries; develops patient portals, Internet, mHealth, mobile phones, wearable devices, electronic health records, and personal health records.
Delivery system design	Emphasizes the importance of interdisciplinary clinical teams and collaboration between the patient and multiple providers.
Community support	Health care organization makes an effort to form powerful alliances and partnerships. The eCCMc further adds that eHealth education is included as a component, including eCommunity and encompassing message training, health education, technology training, numeracy, literacy, usability, and security.
Health systems	Creates an environment in which organizational efforts improve health care.

^aThe Chronic Care Model includes self-management support, decision support, clinical information systems, delivery system design, community support, and health systems as interdependent components for holistic care.

^beCCM: eHealth-enhanced Chronic Care Model.

^cThe eCCM further defines the role of eHealth tools and eCommunity to support holistic care.