Four core principles of team-based care: a prescriptive model



Co-locating the provider, RN, LPN, and MA in a single “flow station” where patient requests are directly addressed in real time through verbal messaging and desktop management

Principle one of team-based care: co-location, such as this flow station


Pre-visit Planning

Implementing innovations in workflow to enhance the primary care experience for patients, providers, and support staff by embracing a proactive model of care

  • Support staff empowered to administer immunizations, schedule/order lab and radiology testing, and initiate discussions regarding advance care planning per established protocols (advance directives, home health, palliative care, etc.)
  • Use of standing orders and expanded protocols for panel management
  • Using shared collaborative documentation, non-physician order entry, and streamlined prescription management

Daily Huddle

Holding a 5-minute daily huddle every morning with the entire care team, including front desk staff

  • Check in with the team, learn of any staffing voids or concerns
  • Identify potential bottlenecks or gaps in the schedule
  • Identify 2–4 same-day appointment slots for acute visits

Principle three of team-based care: the daily huddle, such as this group of medical professional seated in a tight circle


4-Stage Office Visit

Leveraging the 4-stage office visit to maximize team efficiency

  • Stage 1: medical assistant/nurse gathers data
  • Stage 2: physician–patient interaction and synthesis of data
  • Stage 3: medical decision-making
  • Stage 4: patient education and plan-of-care implementation

Principle four of team-based care: 4-stage office visit, including physician-patient interaction such as this doctor taking blood pressure while a medical assistant records data

Practice redesign doesn’t mean hiring more staff

In the team-based care model, changes in workflows and redistribution of work are done within the construct of your established team. We’ll start with the end in mind and include your teams in the redesign process, empowering them to solve problems together in real time.

The team-based care model in action

How can your organization leverage team-based care to meet today’s practice challenges?

Top 5 ways