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Analysis & performance

Creation of a Chronic Care Model in the Mürz Valley


One of the biggest challenges facing health care supply planning in the 21st century is the steady increase in chronic disease rates, as well as extended life expectancy. At the same time, established health care structures are no longer functioning at peak efficiency. Providing improved quality of care to chronically ill people poses an enormous burden on health care systems and players. A large number of elderly people live in the Styrian Mürz Valley, a region with, in part, low levels of population density as compared with the general populations of Austria and Styria. This makes the region ideal for the development of a Chronic Care Model (CCM).


VAEB - Railway and Mining Insurance Institution

Project goal

The goal was to create a theoretical concept that could be used to guide decisions about the development and long-term service relating to a CCM in the Mürz Valley region.


It was necessary to develop a program that was applicable to many disease areas and was as flexible as possible, taking existing players and providers into account and thus establishing a network of care-providers. In this way the aim was to effectively meet the differing needs of individual patients and nevertheless to establish standardized health care pathways. This new form of coordination is made possible by including new roles and tasks, such as case management and the use of mobile nurses (community nurses), which enables better and more efficient use of medical resources. In this way the health care effectiveness of existing structures is significantly increased, which is a major benefit in the face of often perceived structural deficiencies. The concept outlines how a CCM should be structured, which responsibilities and actions should be established. The concept also focuses on the care of patients with cardiovascular risk factors (hypertension, diabetes)during this initial stage. In the meantime, the concept addresses the organizational framework in such a way that future health care pathways for an increasing number of clinical indications and disease areas can be included.

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