TY  - JOUR
AB  - Purpose As the US health system moves to value-based care and aligns payment with quality, the role of the primary care provider (PCP) is becoming ever more important. The purpose of this paper is to outline a successful population health and care management strategy depending on accountable teams to standard workflow and agreed upon process and outcome measures in order to achieve the triple aim of improved health, patient experience, and value.Design/methodology/approach Two major areas of focus for primary care are ensuring that all patients receive appropriate evidence-based screening and prevention services and coordinating the care of patients with chronic conditions. The former initiative will promote the general health and well-being of patients, while the latter is a key strategy for achieving better outcomes and reducing costs for patients with chronic conditions.Findings To achieve these goals while managing a busy practice requires that the authors leverage the PCP by engaging clinical and non-clinical team members in the care of their patient population. It is essential that each team member’s role be clearly defined and ensures they are working at the top of their scope.Originality/value This initiative was successful because of the compelling objectives, the buy-in generated by using Lean methodology and engaging the team in the design process, use of multiple feedback mechanisms including stories, dashboards, and patient feedback, and the positive impact on providers, staff, and patients.
VL  - 22
IS  - 2
SN  - 2059-4631
DO  - 10.1108/IJHG-11-2016-0048
UR  - https://doi.org/10.1108/IJHG-11-2016-0048
AU  - McGough Peter
AU  - Kline Susan
AU  - Simpson Louise
PY  - 2017
Y1  - 2017/01/01
TI  - Team care approach to population health and care management
T2  - International Journal of Health Governance
PB  - Emerald Publishing Limited
SP  - 93
EP  - 103
Y2  - 2024/04/24
ER  -