This implementation guide from the Safety Net Medical Home Initiative provides guidance on how practices can develop and sustain strong care teams, including how to form teams, defining roles and leadership of the team, cross-training the team, scheduling time for teamwork (such as quick “huddles”), identifying the team to the patient, and ensuring that the patient is seen by a member of the assigned care team whenever possible to optimize continuity of care.
The Safety Net Medical Home Initiative is funded by The Commonwealth Fund and eight other funders, with technical assistance from Qualis Health and the MacColl Institute for Healthcare Innovation at the Group Health Research Institute. The initiative is working with five regional coordinating centers, which are each supporting the implementation of patient-centered medical homes in over a dozen safety net clinics.
Additional resources on this change concept are available from the Safety Net Medical Home Initiative.
Ignatius Bau 