RT Journal Article
SR Electronic
T1 Implementing Teams in a Patient-Centered Medical Home Residency Practice: Lessons Learned
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 224
OP 231
DO 10.3122/jabfm.2012.02.110181
VO 25
IS 2
A1 Tsveti Markova
A1 Maribeth Mateo
A1 Linda M. Roth
YR 2012
UL http://www.jabfm.org/content/25/2/224.abstract
AB Introduction: The “new model of care” calls for a new approach for primary care delivery that focuses on patient centeredness, quality, safety, effective and efficient care, and interdisciplinary teamwork. Medical education needs to parallel this health care reorganization. Implementing a team approach in a residency practice, especially in ambulatory settings, poses unique challenges. Methods: We introduced interdisciplinary teams in a family medicine residency site, integrating clinical and educational objectives. Results: We report our challenges and successes in the transformational journey to a patient-centered medical home, for which a team approach is critical to achieving high quality care. Conclusion: Establishing high-functioning interdisciplinary teams takes leadership commitment; the engagement of everyone in the practice; investment in staff, resident, and faculty development; and clear communication of vision and goals. Integration of clinical and educational objectives can be powerfully synergistic. Clinical, organizational, and educational outcomes are needed to evaluate impact.