Exploring Generative Relationships Through the Application of STAR for Chronic Care


In November 2003, the Centers for Medicare and Medicaid and The Joint Commission began to work to precisely and completely align these common measures for the care of patients with common chronic medical conditions so that they are identical. This resulted in the creation of one common set of measure specifications documentation known as the Specifications Manual for National Hospital Inpatient Quality Measures to be used by both organizations. The manual contains a common (i.e., identical) data dictionary, measure information forms, algorithms, etc. The goal is to minimize data collection efforts for these common measures and focus efforts on the use of data to improve the health care delivery process.

For this part of the course project, you will utilize the Joint Commission website to review the established core measures and select from this list a common chronic condition that will serve as the framework for this course project. This is 4–6 pages.



  1. Provide a brief, general summary of the chronic medical condition you have chosen, including the frequency of this condition, age at onset, major symptoms, and care needs.
  2. Identify the key relationships that must be engaged in providing care for patients living with this chronic condition. These relationships can be with individuals or institutions, and they can be internal or external to the primary care setting.
  3. Your paper must include a diagram that plots each of these relationships using the STAR model to depict an ideal clinical microsystem model of care for patients living with this chronic illness.
  4. You are expected to utilize scholarly research to support your writing. Your paper must contain 3–5 references related to the care needs of patients with the chronic condition that you have chosen as the focal point for this course project.


** 12 pt font, times new roman, 1″ margins, 4-6 pages not including title page and references **





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