Learning Session Two

Learning Session #2 introduces participants to the rest of the Chronic Care Model. Participants begin to see how the elements of the model interact and learn more about how the elements are implemented. As they did in Learning Session #1, participants use worksheets, breakout sessions and various types of evaluation. During this session, some high-performing teams are also asked to prepare presentations of their work to date. Sponsors should begin preparing for Learning Session #2 and setting its agenda immediately after the end of Learning Session #1.


Learning Session #2 Tools


Learning Session #2 Overview

This is a descriptive overview of Learning Session #2. The objectives that must be met during the learning session are included.

Learning Session #2 Task List

This task list focuses on the activities needed to prepare Learning Session #2, including agenda development, speaker arrangements and registration. These tasks must be completed simultaneously with preparation for Action Period #1.

Faculty Meeting Agendas for Learning Session #2

Faculty meetings for Learning Session #2 are usually scheduled immediately prior to the start of the learning session, and at about the halfway point. The purpose of faculty meetings is: to orient faculty to the learning session objectives and agenda; to problem-solve any issues; and to identify teams that may need specific faculty interventions. Faculty will evaluate Team Grid: Action Period #1, identifying teams that need support. Team Grid: Learning Session #2 will be introduced to the faculty for use during the learning session.

Learning Session #2 Agenda

The sample agenda is provided to all participants. The basic agenda has been used in many collaboratives and changes should be carefully considered, as some sessions have a natural order. Shortening learning sessions has been attempted, but is not advised.


Leaders of the collaborative can use both the annotated agenda and the agenda for the learning session, or adapt them for their own specifications.

Team Grid: Learning Session #2

The completion of Learning Session #2 activities by each team indicates testing and beginning implementation of Chronic Care Model components. It also indicates application of the other collaborative Models. The grid assists faculty in tracking learning session activities completed by each team. It is used during Learning Session #2 to support teams and guide faculty interventions.

Learning Session #2, Team Meetings One and Two

During these meetings, the team plans PDSA cycles for Action Period #2. The team should plan PDSA cycles for each component of the Chronic Care Model, using a separate worksheet for each component. The team should turn in six worksheets.

Plenary Presentation Template

Successful teams are invited to present their completed work to date in plenary sessions. Teams chosen are asked to document activities under all model components, demonstrating improvement in outcomes for patients with chronic illness. This Microsoft PowerPoint template is given to team leaders to prepare the presentation. This template will help the team give a concise and organized presentation within the time limits.

Breakout Meeting ‘A’ Worksheet Instructions

The Breakout ‘A’ worksheet is used in Learning Session #2 to help teams assess their progress and determine what to focus on during the learning session. This document provides instructions for the facilitators of the breakout. We recommend sending two faculty members to each breakout room to provide assistance.

Breakout B and C Presentation

Teams that have done a good job of utilizing the PDSA cycle format will be asked to present the changes tested. The description guides the level of faculty and team presentations that should be expected at Learning Session #2. The template guides the PDSA presentations done by teams.

Patient Experience Exercise

During Learning Session #2, a presenter tells a story about a patient’s experience within an organization that has recently implemented chronic illness care reform. Members of the audience identify how the patient’s care represents improvement over standard care. The exercise helps teams internalize the change concepts inherent to the Chronic Care Model.

Group Visit Starter Kit

Not all patient interaction requires an individual visit with a doctor. Group visits allow patients with the same chronic condition to hear presentations on condition-related topics and pose questions to caregivers. Colorado Kaiser pioneered group visits with frail elderly patients, raising patient satisfaction and significantly cutting emergency room use, hospital readmission and costs generally. This kit provides step-by-step information on starting group visits, as well as tips for making effective presentations and facilitating group discussions.


Participants complete evaluations at the end of each learning session. This sample evaluation can be used for Learning Session #2. Carefully review continuing education requirements, which may necessitate changes or additions to this evaluation. The results of evaluations should be provided to presenters and used for planning of upcoming learning sessions.