I haven't found a strategy that I would tout as the best strategy for long-term care. What I will tell you, though, is that a chronic care model was developed by a researcher named Wagner, in the United States, and it's called the Wagner model. It has been expanded and extended, but it's a model that takes chronic disease management out of acute care, out of the health care system, and joins it up with the community. It activates the patient, the consumer, so that he or she becomes an essential partner in their own care. It activates the family so they can provide support where needed, and it creates the partnerships we've all been talking about, so that chronic disease management over the long term, including in long-term care, can be of high quality.
I think we all have concerns at times about the quality of long-term care. These types of models are helping us learn more about how to do that better, but I haven't seen a model applied yet that I would point to as the gold standard.