Team-Based and Collaborative

Interdisciplinary teams, including individuals and families, work collaboratively and dynamically toward a common goal. The services they provide and the coordinated manner in which they work together are synergistic to better health.
Health care professional members of the team are trained to work together at the top of their skill set, according to clearly defined roles and responsibilities. They are also trained in leadership skills, as well as how to partner with individuals and families, based on their priorities and needs.

Resources

PCC's Better Health NOW Campaign Backs Key Provisions in Senate Mental Health Bill

December 2022

High Levels of Capitation Payments Needed to Shift Primary Care Toward Proactive Team and Nonvisit Care

Pubmed - November 2021

Primary Care 2.0: A Prospective Evaluation of a Novel Model of Advanced Team Care With Expanded Medical Assistant Support

Go to the resource - September 2021

Care Practices to Promote Patient Engagement in VA Primary Care: Factors Associated With High Performance

Care Practices to Promote Patient Engagement in VA Primary Care: Factors Associated With High Performance - October 2020

Organizations with a strong team-based care infrastructure are better positioned to launch patient engagement programs, according to research published in the Annals of Family Medicine. “Collectively, our findings suggest that strengthening the foundation of the medical home by promoting full staffing of primary care teams, clearly defined roles of team members, effective leadership, and a practice culture of performance improvement may increase adoption and use of patient engagement practices,” the researchers conclude

Team-Based Primary Care Practice Transformation Initiative and Changes in Patient Experience and Recommended Cancer Screening Rates

Inquiry - August 2020

Innovacer COVID-19 Management System

Innovaccer COVID-19 Management System - April 2020

Behavioral Health Workgroup Consensus Recommendations

November 2019

Oral Health Integration

June 2019

Effect of community health worker support on clinical outcomes of low-income patients across primary care facilities: a randomized clinical trial

JAMA Internal Medicine - December 2018

Evaluation of the Learning to Integrate Neighborhoods and Clinical Care Project: Findings from Implementing a New Lay Role into Primary Care Teams to Address Social Determinants of Health

The Permanente Journal - October 2018

High Levels of Capitation Payments Needed to Shift Primary Care Toward Proactive Team and Nonvisit Care

Health Affairs - September 2017

Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: A mixed methods study

Health Care Managementy Review - March 2017

This study looks at team dynamics and care coordination. Better team dynamics were associated with better clinician satisfaction and improved care coordination. Addressing collaboration and teamwork could help practices improve clinician satisfaction and lead to better outcomes.

Transforming Primary Care Practice and Education: Lessons From 6 Academic Learning Collaboratives

Journal of Ambulatory Care Management - January 2017

This resource looks at a framework for collaboratives working on transforming primary care practices. It was shown that these collaboratives are effective in fostering practice transformation.

A Chronic Disease Management Student-Faculty Collaborative Practice

Journal of the Association of American Medical Colleges - March 2016

This resource explores a pilot that aimed to improve chronic disease management through collaboration between medical students and faculty. It showed great potential that interdisciplinary care teams can help to improve patient engagement and retention.

Integrating Community Health Workers into Care Teams

The Commonwealth Fund - December 2015

This resource explores how the relationship between community health workers (CHWs) and patients can improve care and lead to better outcomes. Community health workers are uniquely positioned in the context of their patients' lives which gives them valuable insights into how to best help their patients. Integrating community health workers into the care team and creating collaboration between clinicians and CHWs can help improve treatment adherence and health outcomes.

Enhancing Oral Health Access Through Safety Net Partnerships: A Primer and Resource Guide for Medicaid Agencies

NASHP - August 2015

Dental care is an important part of comprehensive primary care, especially for children and young adults. This resource explores how a collaboration between safety net programs and oral health providers helps to create access for vulnerable populations, leading to more equitable care.

Patient-Centered Teamwork in Care Transitions

American Journal of Managed Care - June 2015

This study researched primary care teams and their impact on care transitions. It found that practices with strong physician leadership had improved team functioning in care transitions. Conclusions of the study suggested that healthcare reform efforts that emphasize integrated care teams will lead to enhanced teamwork and improved transitions, which will help to achieve the quadruple aim.

Collaborative Care for Children With ADHD Symptoms: A Randomized Comparative Effectiveness Trial

Pediatrics - March 2015

This study looks at how implementing collaborative, team-based care can affect treatments for children with attention-deficit/hyperactivity disorder (ADHD). It was found that treatments that helped to engage parents with the care team and with their child's behaviors and treatment dramatically improved outcomes. Engaging parents in this way can help to improve the efficacy of collaborative care.

Webinars

PCPCC SAN Webinar: Patient Partners Key to Successful Clinical Transformation
Prioritizing Solutions: Empowering Collaborative Primary Care with Ethical Use
PCPCC National Briefing: Employers and the Primary Care Imperative
PCC August Webinar
The Role of Leadership in Creating a Culture of Patient-and Family-Centered Care
Transforming Clinical Practice In Partnership with Patient and Family Advisors
Beyond Projects & Programs: 5 Steps to Patient-Centered Culture Change
Behavioral Health Collaboration in the Primary Care Setting
Overcoming Challenges to Ideal Primary Care
Webinar Recording: Putting the Medical Home into Practice for Children
Building Partnerships with Patients and Families to Improve Care
Exploring Peer Support in Ambulatory Care - Lessons from the Field
Artificial Intelligence in Primary Care
PCC webinar: Primary Care: A Team Sport?
January Lunch and Learn Discussion
The Commercial Market: Alternative Payment Models for Primary Care
PCC's July Webinar
PCC's September Webinar

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PCC's Better Health NOW Campaign Backs Key Provisions in Senate Mental Health Bill

High Levels of Capitation Payments Needed to Shift Primary Care Toward Proactive Team and Nonvisit Care

Primary Care 2.0: A Prospective Evaluation of a Novel Model of Advanced Team Care With Expanded Medical Assistant Support

Care Practices to Promote Patient Engagement in VA Primary Care: Factors Associated With High Performance

Team-Based Primary Care Practice Transformation Initiative and Changes in Patient Experience and Recommended Cancer Screening Rates

Innovacer COVID-19 Management System

Behavioral Health Workgroup Consensus Recommendations

Oral Health Integration

Effect of community health worker support on clinical outcomes of low-income patients across primary care facilities: a randomized clinical trial

Evaluation of the Learning to Integrate Neighborhoods and Clinical Care Project: Findings from Implementing a New Lay Role into Primary Care Teams to Address Social Determinants of Health

High Levels of Capitation Payments Needed to Shift Primary Care Toward Proactive Team and Nonvisit Care

Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: A mixed methods study

Transforming Primary Care Practice and Education: Lessons From 6 Academic Learning Collaboratives

A Chronic Disease Management Student-Faculty Collaborative Practice

Integrating Community Health Workers into Care Teams

Enhancing Oral Health Access Through Safety Net Partnerships: A Primer and Resource Guide for Medicaid Agencies

Patient-Centered Teamwork in Care Transitions

Collaborative Care for Children With ADHD Symptoms: A Randomized Comparative Effectiveness Trial

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