Using materials from Improving Chronic Illness Care

ICIC_logo.pngThank you for your interest in Improving Chronic Illness Care and the MacColl Center for Health Care Innovation! We’re in the process of building a new website to make our tools and resources easier to access. In the meantime, you can find our most popular resources here. If you need a resource that's not included here, please contact us at

The MacColl Center for Health Care Innovation encourages the non-commercial use of the materials we develop. With the exception of the Chronic Care Model image, all other materials produced by the Improving Chronic Illness Care program are publicly available, free of cost and copyright protected. 

For current research referencing the conception of the chronic care model in the field of chronic illness care, please use this citation: “Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract. 1998;1:2-4.”   

The copyright for the Chronic Care Model image is owned by the American College of Physicians (ACP) which publishes the Annals of Internal Medicine, the journal in which the model first appeared.  All permitted use of the Chronic Care Model image must be secured through the Copyright Clearance Center. ACP will not charge for use in thesis, dissertation and in most non-commercial cases, but the $0.00 permission must still be secured through the site. This process usually takes 1-2 days. Upon receiving permission, our preferred citation in your work is as follows: “Developed by The MacColl Center for Health Care Innovation, © ACP-ASIM Journals and Books, reprinted with permission from ACP-ASIM Journals and Book.”

Translations and Adaptations of MacColl Center Tools

Our assessments and tools have been adapted to local contexts and translated into dozens of languages by teams around the world.  The MacColl Center does not validate adaptations or translations.  When translating health care instruments and protocols from English, we recommend using the World Health Organization’s protocol described here.  

Please use the below citations for translations and adaptations of our top tools:

contact us

Please email us at for help finding additional tools from Improving Chronic Illness Care.

Our other websites

The MacColl Center's funding for Improving Chronic Illness Care ended in 2011, but our work to improve care with a patient-centered, team-based approach has continued. To access some of our more recent tools and resources, please visit these websites: