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CCD Practice Domains

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Coordinated Chronic Disease

Practice Domains




Nationally, public health organizations are considering four practice domains to a coordinated approach to chronic disease prevention and health promotion.  Here you will find information regarding domain definitions, practice examples, professional education, and resources. .


Domain 1: Epidemiology and Surveillance

Gather, analyze, and disseminate data and information and conduct evaluation to inform, prioritize, deliver, and monitor programs and population health. 


Domain 2: Environmental Approaches

Promote health and support and reinforce healthful behaviors (statewide in schools, worksites, and communities).


Domain 3: Health Care Systems

Improve the effective delivery and use of clinical and other preventive services in order to prevent disease, detect diseases early, and reduce or eliminate risk factors and mitigate or manage complications.


Domain 4: Community-Clinical Linkages

Ensure that communities support and clinics refer patients to programs that improve management of chronic conditions. Such interventions ensure those with or at high risk for chronic diseases have access to quality community resources to best manage their conditions or disease risk.


For more information, please contact Jeanne Alongi.



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National Association of Chronic Disease Directors
2200 Century Parkway, Suite 250
Atlanta, GA 30345
Phone (770) 458-7400
Fax (770) 458-7401


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