Table 3.

Strategies in Response to Common Implementation Challenges

Key ChallengeStrategy
Shifting patterns of care use• Expanding access through teams, schedules, and staffing
• Preventing unnecessary emergency department visits through patient outreach and emergency department information exchange
• Ensuring care with outside providers through improved communication and referral tracking
Fidelity to the PCPCH model• Prioritization of select standards and metrics
• Implementing patient-centered practices including bilingual/bicultural staff, cultural competency training, and new population demographic metrics
• Developing new continuous improvement capacity through committees, training, and clinic “champions”
Refining care processes• Incorporating screenings, preventive services, and chronic disease management
• Standardization of workflows
• Customizing electronic health records for communication and reporting
• Integration of mental health
  • PCPCH, patient-centered primary care homes.