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video spotlights two physicians who have successfully implemented a team-based care model into their practices
 In this Learning from Effective Ambulatory Practices (LEAP) video,
The Physician Experience of Team Based Care, two physicians share their experiences with introducing a team-based care model into their practices.
Dr. Carolyn Shephard and Dr. Andrew Tremblay first discuss the challenges their practices faced prior to implementing this care model, including high staff turnover rates, clinician burnout, and patient dissatisfaction with the attention and care they were receiving.
Both physicians shared that it takes time to transition to this type of care team approach. It also requires providers to give up some control and share responsibilities which often times can be met with some resistance, but that solid strategies were implemented to help staff build trust and open up lines of communication. According to Dr. Tremblay, "What we found in our team-based care model has been that a lot of care can be delivered by people working towards the top of their license. By having our nurses be more involved in the care of patients, providers are tending to see higher acuity, more complex chronic illness patients, and managing more of these problems along the way."
The outcomes from implementing team-based care have been very positive. Both physicians report improved camaraderie among the staff, an increase in the quality of patient care, a reduction in the cost of care for patients, and greatly improved patient satisfaction. "It has really helped us to restore the joy of our practice," shared Dr. Tremblay.
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could expanding the role of medical assistants in your practice be key to reducing physician burnout?
 An article posted on the
Journal of American Medicine (JAMA) Network,
Expanding the Roles of Medical Assistants - Who Does What in Primary Care?, takes a look at how assigning more patient care activities to Medical Assistants (MAs), as well as other members on the primary care team, may be key t
o meeting the growing demand for primary care and to improving the work life of clinicians.
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video encourages primary care practices to re-think the role of registered nurses
 The role of registered nurses (RNs) in primary care has evolved a great deal in the last 50 years. Competition from hospitals for quality nurses and the corresponding rise in nurses' compensation have caused many primary care practices to cut RN staff or find ways to maximize their value and productivity. RNs provide a unique set of clinical and management skills, that when used to their fullest potential, can enhance the primary care team and improve patient care.
The LEAP Learning Community webinar,
New Roles for RNs in Primary Care, takes a look at the new and more robust roles for RNs, featuring speakers from four LEAP sites: St. Luke's Eastern Oregon Medical Associates, Harvard Vanguard Medical Associates, Martin's Point, and Community Health Centers, Inc.
Watch a recording of this webinar here.
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report explores how reimagining the role of registered nurses can improve primary care
 According to a report from the California Healthcare Foundation,
RN Role Reimagined: How Empowering Registered Nurses Can Improve Primary Care, demand for primary care is on the rise and the number of primary care clinicians - including physicians, nurse practitioners, and physician assistants - is dwindling. Safety-net providers are looking to a team model of care to meet the needs of large panels of patients. In this model, responsibility for the health of the patients is shared among members of the team, and nonclinical team members are empowered to provide care to patients independently of clinicians.
It is within this primary care transformation that the questions arises: What is the role of the RN in primary care? It is particularly in community health centers and county health systems - many of which employ RNs - that the RN role is being actively debated.
Review the
RN Role Reimagined report to learn how some safety-net clinics in California are responding to the challenge of expanding the roles of RNs to take full advantage of their skills and expertise.
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This publication was supported by the Cooperative Agreement Number NU58DP2018006563 from the Centers for Disease Control and
Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the
Centers for Disease Control and Prevention.
Publication number: DEDPH-HD-081619
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