Team-Based Care: A Foundational Structure for Primary Care

 

 

Engaged leadership, data-driven improvement, empanelment (ensuring all patients are assigned to a provider), and team-based care are all foundational elements of primary care according to Tom Bodenheimer’s 10 Building Blocks of High Performing Primary Care.

These four pillars of transformation can help achieve reduced costs, better quality, higher patient engagement, and higher provider and staff satisfaction. Though they sound simple to achieve, they require strong commitment from all members of a practice to be adopted effectively and sustainably.

JSI is working with The Colorado Health Foundation on a three-year initiative to assist 20 safety-net primary care practices throughout Colorado to achieve the quadruple aim by focusing on team-based care. This encompasses developing core and expanded teams with defined roles and workflows that optimize every team member’s abilities, and ensuring that the patient is an integral part of the team and a decision maker in his or her own care.

JSI has partnered with the MacColl Center for Health Care Innovation, Leibig-Shepherd, LLC, and the Colorado Community Health Network (the state’s primary care association) to provide ongoing training, technical assistance, and facilitation and coaching to the 20 practices that are part of this initiative.

Practices vary greatly. They include start-ups; well-established, large, federally qualified health centers; residencies; school-based and pediatric practices; and some for-profit clinics. While each is different, the movement forward, through team-based care, demonstrates to us that the approach is working. Our goal is that through this project we will establish best practices that will be replicable throughout the state.

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