1. Development and Implementation of a Team-Based, Primary Care Delivery Model: Challenges and Opportunities
- Author
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Gerald J. Sobolik, Jordan D. Haag, Lila J. Finney Rutten, Lori J. Baumbach, Eric W. Klavetter, Jay D. Mitchell, Rachel Beldo, Nilay Shah, and Robert J. Stroebel
- Subjects
Patient Care Team ,Primary Health Care ,Delivery of Health Care, Integrated ,Minnesota ,education ,MEDLINE ,Health Plan Implementation ,Nurses ,General Medicine ,Primary care ,Population health ,Focus Groups ,Pharmacists ,Team manager ,Focus group ,Work life ,Clinical pharmacy ,Nursing ,Patient-Centered Care ,Physicians ,Patient experience ,Humans ,Psychology - Abstract
In this article, we describe the implementation of a team-based care model during the first 2 years (2016-2017) after Mayo Clinic designed and built a new primary care clinic in Rochester, Minnesota. The clinic was configured to accommodate a team-based care model that included complete colocation of clinical staff to foster collaboration, designation of a physician team manager to support a physician to advanced practice practitioner ratio of 1:2, expanded roles for registered nurses, and integration of clinical pharmacists, behavioral health specialists, and community specialists; this model was designed to accommodate the growth of nonvisit care. We describe the implementation of this team-based care model and the key metrics that were tracked to assess performance related to the quadruple aim of improving population health, improving patient experience, reducing cost, and supporting care team's work life.
- Published
- 2018