Development and Implementation of a Team-Based, Primary Care Delivery Model: Challenges and Opportunities

被引：23

作者：

Mitchell, Jay D. ^{[1
]}

Haag, Jordan D. ^{[2
]}

Klavetter, Eric ^{[3
]}

Beldo, Rachel ^{[1
]}

Shah, Nilay D. ^{[4
,5
]}

Baumbach, Lori J. ^{[3
]}

Sobolik, Gerald J. ^{[6
]}

Rutten, Lila J. ^{[4
,5
]}

Stroebel, Robert J. ^{[7
]}

机构：

[1] Mayo Clin, Dept Family Med, 200 First St SW, Rochester, MN 55905 USA

[2] Mayo Clin, Dept Pharm, Rochester, MN USA

[3] Mayo Clin, Employee & Community Hlth, Rochester, MN USA

[4] Mayo Clin, Div Hlth Care Policy & Res, Rochester, MN USA

[5] Mayo Clin, Robert D & Patricia E Kern Ctr Sci Hlth Care Deli, Rochester, MN USA

[6] Mayo Clin, Off Populat Hlth Management, Rochester, MN USA

[7] Mayo Clin, Div Primary Care Internal Med, Rochester, MN USA

来源：

MAYO CLINIC PROCEEDINGS | 2019年 / 94卷 / 07期

基金：

美国国家卫生研究院; 美国医疗保健研究与质量局;

关键词：

POPULATION HEALTH MANAGEMENT; CARDIOVASCULAR-DISEASE; DIABETES CARE; PHARMACIST; EXPERIENCES; PHYSICIAN; IMPACT;

D O I：

10.1016/j.mayocp.2019.01.038

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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. (C) 2019 Mayo Foundation for Medical Education and Research

引用

页码：1298 / 1303

页数：6

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