Our current work proceeds directly from our early emphasis on activated patients and proactive practice teams

Today, we are actively working to better understand and inform the state of the art in high-functioning primary care teams. We are visiting innovative primary care teams across the U.S. to learn how care is being delivered by teams in new ways.

An effective primary care workforce is essential to better health and health care for all

Little academic study to date has examined primary care staff, training, and team functioning.  Many organizations recognize the need to revamp their workforce, and are experimenting with innovative team structures and role definitions.

Transforming primary care: healthier patients, happier staff

We know transformation of any kind is hard work.  That's why we created the Improving Primary Care Team Guide through our PCT-LEAP work.  An online tool for primary care teams, The Team Guide helps build high-functioning teams and provides practical, hands-on tools—easy to use, actionable and measureable.

 

Related Resources

LEAP: Learning from Effective Ambulatory Practices (seminar)

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Registered Nurses in Primary Care: Emerging New Roles and Contributions to Team-Based Care in High-Performing Practices

Our LEAP project examined the roles of RNs in 30 exemplary primary care practices.

Monitoring local impacts of Medicaid expansion on primary care provider capacity: A case study from King County, Washington

Paula Rae Blasi, MPH, Eva Y. Wong, PhD, Nathan M. Johnson, MA, & Eli Kern, MPH RN. Monitoring local impacts of Medicaid expansion on primary care provider capacity: A case study from King County, Washington. February 1, 2017. This report is produced by the Assessment, Policy Development & Evaluation Unit at Public Health – Seattle & King County.

Primary Care Clinic Re-Design for Prescription Opioid Management

Primary Care Clhnic Re-Design for Prescription Opioid Management

Background: The challenge of responding to prescription opioid overuse within the United States has fallen disproportionately on the primary care clinic setting. Here we describe a framework comprised of 6 Building Blocks to guide efforts within this setting to address the use of opioids for chronic pain.

Taking Action on Overuse Action Planning Framework

Taking Action on Overuse Action Planning Framework

The Taking Action on Overuse Action Planning Framework (formerly Supporting Provider Engagement to Reduce Low-Value Care) is a promising approach to engage healthcare providers and care teams in undertaking the difficult work of reducing low-value, unnecessary care. The MacColl Center for Health Care Innovation developed this framework with the support of the Robert Wood Johnson Foundation (RWJF).

Taking action on overuse: Creating the culture for change

Our team has spent the past two years developing an approach for engaging providers in reducing medical overuse. It focuses on the real-world aspects of implementing change, centering on the conditions and practices that help providers transform established practice patterns. You can read the story of the Taking Action on Overuse framework in Healthcare: The Journal of Delivery Science and Innovation.

OPCA Alternative Payment & Advanced Care Model Learning Exchange Summary

OPCA APACM Learning Exchange report

Since 2010, the Oregon Primary Care Association (OPCA) has been leading the development and implementation of an Alternative Payment Methodology (APM), in partnership with Oregon’s state Medicaid office. The purpose of the APM is to provide participating clinics with a payment approach that is detached from the face-to-face provider visit, allowing for much greater flexibility in transforming the care model to support population health.

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