Team-Based Leadership
Building Teams in Primary Care: Lessons Learned
Thomas Bodenheimer, M.D.
"Numerous studies suggest that multidisciplinary clinical teams produce clinical outcomes superior to those achieved by 'usual care' arrangements, with many of these studies evaluating the addition of nurses, social workers, psychologists, and clinical pharmacists to teams." read more
Resources
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ACO Learning Network :: Brookings Institute - January 01, 2011
The following attempts to define the steps needed to become an ACO, while being broad enough to make sure the path is possible for a diverse range of... read more -
Commonwealth Fund reports results from the 2011 National Scorecard on U.S. Health System Performance
The National Scorecard on U.S. Health System Performance, 2011, updates a series of comprehensive assessments of U.S. population health and health care quality, access, efficiency, and equity. read more -
Database of Innovative Care Delivery and Payment Approaches :: - September 10, 2010
To assist hospital leaders in understanding new care delivery and payment approaches, HRET and the AHA have assembled a variety of resources and tools.... read more -
Designing A 21st Century Approach to Primary Care
October 13, 2010 - A new vision of primary care-one built on a clinically and economically sound foundationoffers substantial benefits to both physicians and their patients. read more -
Handoffs and Transitions Learning Network (2008-2009) :: Maryland Patient Safety Center - January 01, 2009
The learning network was an opportunity to research, collate and investigate the efficacy of various tools and approaches to handoffs. This network's... read more -
In Focus: Using Pharmacists, Social Workers, and Nurses to Improve the Reach and Quality of Primary Care :: The Commonwealth Fund - September 10, 2010
The article explores emerging models of care that include pharmacists, social workers nurses and nurse practitioners in primary care services. These... read more -
Organizational and Clinical Factors Influencing Use of Clinical Practice Guidelines
October 08, 2010 - Clinical practice guidelines can be effective toward reaching common system goals of improved patient care management. Identifying and overcoming institutional and operational barriers can help ensure the successful implementation of guidelines. read more -
Project BOOST :: Society of Hospital Medicine - June 06, 2008
The goal of the Society of Hospital Medicine's Project BOOST (Better Outcomes for Older adults through Safe Transitions) is to improve the care of... read more -
Rehospitalizations among Patients in the Medicare Fee-for-Service Program
New England Journal of Medicine - Medicare currently pays for all rehospitalizations, except those in which patients are rehospitalized within 24 hours after discharge for the same condition for which they had initially been hospitalized. Recent policy proposals would alter this approach and create payment incentives to reduce the rates of rehospitalization. The Medicare Payment Advisory Commission (MedPAC) recommended to Congress in its report in June 2008... read more -
Sharecare :: NorthShore University HealthSystem - November 01, 2009
Sharecare is an interactive Q&A platform designed to connect leading physicians, nurses, hospitals, clinics, authors, health care companies and nonprofits... read more -
TeamSTEPPS™ Training :: Maryland Patient Safety Center - September 01, 2010
The goal of TeamSTEPPS™ is to produce highly effective medical teams that optimize the use of information, people and resources to achieve the best... read more
Case Studies
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An Electronic Approach to Improving Team Communication and Documentation of Patient Plan of Care
The hospital incorporated a Plan of Care and progress notes into its EHR.... read more -
Automating Patient Handoff Reports Increases Efficiency
Patient transfers can present a bottle neck to hospitals; and Ingalls Memorial Hospital had such a situation as it tried to admit patients from its emer... read more -
Genesys HealthWorks: Pursuing the Triple Aim Through a Primary Care-Based Delivery System, Integrated Self-Management Support, and Community Partnerships
This case study examines efforts at Genesys Health System to improve population health and the patient care experience while reducing or controlling per-ca... read more -
Gundersen Lutheran Health System:Performance Improvement Through Partnership
Gundersen Lutheran Health System, a not-for-profit intergrated delivery system serving more than 550,000 people in Wisconsin, Iowa, and Minnesota, has... read more -
Integrated Care Delivery for Vulnerable Populations
This patient-centered system of hospitals, community clinics, and school-based clinics uses innovative practices for managing chronic disease, provides... read more -
Introduction of a Rapid Response System at a United States Veterans Affairs Hospital Reduced Cardiac Arrests
The case study analyzes an effort by Veterans Affairs Medical Center in Palo Alto, CA to create a rapid response system to prevent cardiac arrest among... read more -
Kaiser Permanente: Bridging the Quality Divide with Integrated Practice, Group Accountability, and Health Information Technology
Kaiser Permanente, the largest nonprofit integrated health care delivery system in the United States, focuses on high-impact health conditions, provides... read more -
Mayo Clinic: Multidisciplinary Teamwork, Physician-Led Governance, and Patient-Centered Culture Drive World-Class Health Care
The Mayo Clinic realizes efficiencies and promotes clinical excellence by fully integrating its hospitals and clinics and using shared electronic medical... read more -
Standardizing Data Collection to Capture Patient Demographics
New York City-based Montefiore Medical Center set out to improve data collection among diverse patient populations. The system now has accurate... read more
Featured Resources
Building Teams in Primary Care: Lessons Learned
Thomas Bodenheimer, M.D.Numerous studies suggest that multidisciplinary clinical teams produce clinical outcomes superior to those achieved by “usual care” arrangements, with many of these studies evaluating the addition of nurses, social workers, psychologists, and clinical pharmacists to teams.
read more »
Physician Alignment in an Era of Change
HealthLeaders Media - September 1, 2010This white paper illustrates current trends with hospitals employing more physicians and physician groups.
read more ยป
Database of Innovative Care Delivery and Payment Approaches
HRET created this database to aid hospitals in understanding the scope of existing bundled payment, accountable care organization, and patient-centered medical home programs. This database is intended to provide a sample of public and private sector programs.
read more »



