Delivery system design		Clinical information systems
1	Regular comprehensive assessment	11	Electronic patients records and computerized clinical charts
2	Multidisciplinary team	12	Exchange of patient information
3	Individualized care plans	13	Uniform coding of patients’ health problems
4	Appointment of care coordinator or case manager	14	Patient platforms allowing patients to exchange information with care providers
Decision support		Community resources
5	Implementation of evidence‐based medicine	15	Access to community resources
6	Team training	16	Involvement of social network
7	Development of a consultation system
Self‐management support
8	Training care providers to tailor self‐management support based on patient preferences and competencies
9	Providing options for patients and families to improve self‐management
10	Involvement of patients in decision making