@article{d91c34db24ec4c56a793cd3cd1d129bb,
title = "Development and Implementation of a Team-Based, Primary Care Delivery Model: Challenges and Opportunities",
abstract = "In this article, we describe the implementation of a team-based care model during the first 2 years (2016-2017) after Mayo Clinic designed and built a new primary care clinic in Rochester, Minnesota. The clinic was configured to accommodate a team-based care model that included complete colocation of clinical staff to foster collaboration, designation of a physician team manager to support a physician to advanced practice practitioner ratio of 1:2, expanded roles for registered nurses, and integration of clinical pharmacists, behavioral health specialists, and community specialists; this model was designed to accommodate the growth of nonvisit care. We describe the implementation of this team-based care model and the key metrics that were tracked to assess performance related to the quadruple aim of improving population health, improving patient experience, reducing cost, and supporting care team's work life.",
author = "Mitchell, {Jay D.} and Haag, {Jordan D.} and Eric Klavetter and Rachel Beldo and Shah, {Nilay D.} and Baumbach, {Lori J.} and Sobolik, {Gerald J.} and Rutten, {Lila J.} and Stroebel, {Robert J.}",
note = "Funding Information: Potential Competing Interests: Dr Shah has received grants from the Food and Drug Administration, National Institutes of Health, Patient-Centered Outcomes Research Institute, Agency for Healthcare Research and Quality, and Capability Maturity Model Integration Institute. Dr Rutten is an employee of Mayo Clinic. The other authors report no competing interests. Potential Competing Interests: Dr Shah has received grants from the Food and Drug Administration, National Institutes of Health, Patient-Centered Outcomes Research Institute, Agency for Healthcare Research and Quality, and Capability Maturity Model Integration Institute. Dr Rutten is an employee of Mayo Clinic. The other authors report no competing interests. We thank Scientific Publications, Mayo Clinic, for assistance editing, proofreading, and reference verification. Potential Competing Interests: Dr Shah has received grants from the Food and Drug Administration, National Institutes of Health, Patient-Centered Outcomes Research Institute, Agency for Healthcare Research and Quality, and Capability Maturity Model Integration Institute. Dr Rutten is an employee of Mayo Clinic. The other authors report no competing interests. Publisher Copyright: {\textcopyright} 2019 Mayo Foundation for Medical Education and Research",
year = "2019",
month = jul,
doi = "10.1016/j.mayocp.2019.01.038",
language = "English (US)",
volume = "94",
pages = "1298--1303",
journal = "Mayo Clinic proceedings",
issn = "0025-6196",
publisher = "Elsevier Science",
number = "7",
}