University of Oklahoma Health Sciences Center

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Author/s:

Christine A, Bodenheimer, Thomas

Date Added:

July 18, 2019

Journal/Publication:

Annals of Family Medicine

Publisher:

Annals of Family Medicine, Inc

Publication Date:

July 1, 2019

Issue:

Volume:

Pages:

367-371

URL:

Powering-Up Primary Care Teams: Advanced Team Care With In-Room Support

Type:

Practice Management Reviews and Guidelines, Practice Management Research Results

Format:

Article

DOI (1):

10.1370/afm.2422

PMID (1):

31285215

Keywords

primary care

primary care teams

MeSH

primary health care

physicians

allied health personnel

Personal Satisfaction

RPR Commentary

A description of an enhanced team-based model of primary care and its impact on practice revenue and joy in practice. James W. Mold, MD, MPH

Abstract

Primary care teams are underpowered. Teams do not maximally redistribute team functions when clinicians are diverted from activities where they add the most value. This commentary describes "advanced team care with in-room support" as a way to "power-up" primary care teams. In this core team model, each clinician is paired with 2 or 3 highly trained medical assistants or nurses-care team coordinators (CTCs). Early evidence suggests that this model is more satisfying to clinicians, staff, and patients and is financially sustainable. Yet its spread has been hobbled by several misguided beliefs, such as that the physician can and should do most tasks, that technology replaces people, that health care is a transactional endeavor more than a therapeutic relationship, that regulation is the main lever by which to advance quality, and that the principal way to increase net revenue is to reduce overhead. A shift in mindset is needed to energize primary care.

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