Least Commonly Reported Patient-Aligned Care Team Practices Used in Geriatric Patient-Aligned Care Team (N = 36)
| N | |
|---|---|
| Access and Scheduling | |
| schedules group visits for some populations of patients | 5 |
| schedules dedicated “phone hours” when patients know that they can reach their clinician | 8 |
| Care Coordination | |
| establishes communication processes and expectations for notifications of admissions with local hospitals and emergency departments | 15 |
| provides a written case summary and transition plan for patients transitioning care to another clinician/facility | 17 |
| Population Management | |
| generates lists of patients who need attention through the use of electronic information | 14 |
| incorporates the guidance of clinical guidelines into flow sheets, standing orders, training, and other every-day processes to facilitate adherence to the clinical guidelines | 15 |
| Care Processes | |
| has a committee of patients to advise the facility | 6 |
| involves patients/families in developing information and education materials for GeriPACT | 9 |
| involves patients/families in facilitating programs and group activities for other patients/families | 10 |
| Quality Improvement | |
| data on wait or turnaround times for lab tests, phone calls, or other service-level activities are collected | 8 |
| data on the confidence patients have in their clinicians and GeriPACT are collected | 11 |
| data on medication errors and other safety events are collected | 12 |
| Healthcare Effectiveness Data and Information Set measures are reviewed | 17 |
| Organizational elements | |
| has ways to reward members of the team based on collective performance of GeriPACT | 6 |
| tracks routine referrals for consultation until a report is received by GeriPACT | 16 |
| monitors team performance on key administrative metrics | 17 |
GeriPACT, Geriatric Patient-Aligned Care Team.