Online Program

A Comprehensive Evaluation Strategy: Clinical Health Coaches and Chronic Disease Management

Tuesday, November 3, 2015

Courtney Randolph, BS, Bowen Center for Health Workforce Research & Policy, Indiana University School of Medicine, Dept of Family Medicine, Indianapolis, IN
Hannah Maxey, PhD, MPH, RDH, Department of Family Medicine, Indiana University School of Medicine, Indianapolis, IN
Cody Mullen, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN

Chronic diseases are among the leading cause of morbidity and mortality in the United States. Leveraging healthcare administration to improve the management of chronic disease is a public health and health system priority. Clinical Health Coaches (CHCs) engage and collaborate with patients to improve outcomes. There is a need for best practices guidelines for CHCs; currently no standardized training program exists. A CHC training program developed by the Iowa Chronic Care Consortium (ICCC) was recently implemented at three rural hospitals as part of a comprehensive chronic care plan. This study outlines evaluation strategies used to assess CHC training and effectiveness.


Evaluation strategies were developed through comprehensive literature review and completion of ICCC training.  Five key domains areas were identified as critical to the evaluation: patient engagement, self-management support, patient experience, patient satisfaction, and delivery system design. 


Two survey questionnaires were developed as part of the evaluation strategy.  These tools include questions, which are mapped to key domain areas, will measure qualitative and quantitative changes resulting from CHC intervention. 

Discussion & Implications:

Survey tools will be administered to both patients and CHCs as a part of an evaluation of ICCC training and its effectiveness. The results of this evaluation will be used to inform CHC interventions.

Learning Areas:

Administration, management, leadership
Assessment of individual and community needs for health education
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health administration or related administration

Learning Objectives:
Describe the development of a comprehensive evaluation tool of chronic disease management. Evaluate the effectiveness of clinical health coaches in chronic disease management.

Keyword(s): Chronic Disease Management and Care, Public Health Administration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a researcher in chronic care models and health coach program implementation. My interests include rural health and chronic disease management.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.