Example of SMEs in health services organization
Minor reorganization and delivery system redesign
The chronic care team, composed of the MHO/CHO, nurse, midwives, and BHW, was created. The organization of the healthcare workers was retained and specific tasks relative to the delivery of primary diabetes care and SMES were distributed. Clinical consultations were retained as a task of the MHO/CHO. Self-management education (SME) activities were assigned to either the MHO/CHO or the nurse. Self-management support (SMS) activities were re-assigned to the midwives and BHW (Figure 1).