Which of the following lists the six essential elements of quality chronic care?

• A. Health System Leadership and Support; Community Resources; Self-Management Support; Delivery System Design; Decision Support; Clinical Information Systems
• B. Informed, Activated Patient; Prepared Practice Team; Productive Interactions
• C. Hospital’s Patient Satisfaction Survey
• D. Public Health Funding

Answer: (A)

This question tests the Chronic Care Model framework, which identifies six structural elements that must be in place to deliver quality care for chronic illness. The six elements are: leadership and organizational support within the health system; linkage to and use of community resources; self-management support to empower patients; delivery system design that ensures coordinated, proactive care; decision support to embed evidence-based guidelines into daily practice; and robust clinical information systems to track care and support decision making. The option that lists all six of these components is the best choice because it directly reflects the framework used to reshape care for chronic conditions. The other options describe outcomes of applying the model—such as an informed, activated patient, a prepared practice team, and productive interactions—or focus on unrelated factors like hospital surveys or public funding, which are not the six organizing elements of quality chronic care.