Determining Needs and Setting Priorities for Systems Change

Three Self-Assessment Tools

Three examples of self-assessment tools presented here. Click on one of these specific tools for more information.

• MacColl Institute for Healthcare Innovation: Improving Chronic Illness Care (ICIC) Assessment of Chronic Illness Care (ACIC) Survey. Click Here
• Indian Health Service (IHS): Integrated Best Practice Model. Basic Diabetes Care and Education: A systems Approach. Click Here
• Bureau of Primary Healthcare (BPHC) Diabetes Collaborative: McColl Institute ICIC Chronic Care Model. Click Here

These tools may be adapted to serve the specific needs of a health care system and give a framework of important considerations. Quantitative measures of the process of change can be captured by self-assessment, even though it may take a long time to change outcome measures. The MacColl Institute and IHS rating systems are quantitative so that it is easier to measure progress over time. The BPHC Collaborative tool has a yes-no checklist format that may be preferable for its simplicity. The key to using these self-assessment tools is the recognition of the importance of each component in creating effective health systems change.

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