High Intensity Care Model (HICM) Program Overview for Primary Care Physicians

Introduction to this self-study CME activity


The HICM program is aimed at improving outcomes and quality of care for the frail elderly by coordinating care among primary care physicians (PCP), specialty physicians, advanced practice nurses, registered nurses, social workers, and other health care providers, in addition to reducing costs. BCBSM MA PPO and BCNA has partnered with the GRACE Team at Indiana University to adapt the key GRACE Team Care components as the foundation for the HICM program.


Key Aspects of the HICM Program

Primary Care Physician partnership in the HICM program is valued and critical to successful outcomes. HICM was designed to be a proactive care management program that complements and supports the Primary Care Physician in the care of their most complex older patients.



Participants in this CME activity will be able to describe the HICM program overview and goals, relate how HICM contributes to better patient care and prepares practices to be in position for future financial incentives in the healthcare arena, explain how the GRACE Team Care Model is the basis for the HICM program in Michigan, and understand the GRACE Team Care Model. Expected results are that Primary Care Physicians will actively engage with the HICM team to improve the outcomes of their frail elderly patients involved in the HICM program.


This self-study activity is appropriate for Primary Care Physicians who will be caring for patients engaged in the HICM program.


Planners & Presenters

  • Jean Malouin, MD, MPH
    Michigan Care Management Resource Center
  • Marie Beisel, MSN, RN, CPHQ
    Michigan Care Management Resource Center
  • Betty Rakowski, BSN, RN, MAEd
    Michigan Care Management Resource Center


Neither the planners, co-planners, or presenters have financial relationships with commercial companies whose products are discussed in this CME activity.

Other Acknowledgements

CME Accreditation and Credit Designation

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity was prepared for release in July 2015. CME credit may be awarded for a maximum of three years from its release date, specifically from July 31, 2015 through July 31, 2018.      


Method of Participation

  1. View or read the educational content provided in the links found on the next page.
  2. Complete the on-line learning assessment test with a score of 70% or higher.  After you initially take the test, the test will be immediately electronically scored. 
    If fewer than 70% of the questions are answered correctly, the questions that were not answered correctly will be noted in red.  Review the CME content related to those topics and retake the test.
    If 70% or more of the questions are answered correctly, the correct and incorrect answers for all questions will be shown along with explanations of the basis for the correct answer.  The link to register and receive credit is shown at the end of the items and explanations. 
  3. Complete the electronic credit request and activity evaluation.  An electronic certificate of participation will be provided immediately.
  4. Print the certificate of participation for your personal records.