The Safety Net Medical Home Initiative

Change Concepts

Continuous and Team-Based Healing Relationships
  • Continuous and Team-Based Healing RelationshipsEstablish and support care delivery teams.
  • Link patients to a provider and care team so both patients and provider/care team recognize each other as partners in care.
  • Assure that patients are able to see their provider or care team whenever possible.
  • Define roles and distribute tasks among care team members to reflect the skills, abilities, and credentials of team members.
  • Cross-train care team members to maximize flexibility and ensure that patients’ needs are met.

Team-Based Care Resources
  • Continuous and Team-Based Health Relationships Implementation Guide (December 2010)
    Key to becoming a medical home is building partnerships between patients and providers and teams. This implementation guide provides guidance on how practices can develop and sustain strong care teams.
    Adobe Acrobat logo  Read the guide

  • Optimizing Your Care Team in the Medical Home (April 30, 2010)
    Moderator: Donna Daniel, PhD, Qualis Health
    Speaker: Catherine Tantau, BSN, MPA, Tantau & Associates
    video Audio & video program Optimizing Your Care Team slides Printable slides

  • Knowledge Building Session: How to Deploy Teams that Provide Continuous Team-Based Care (January 12, 2010)
    Moderator: Ed Wagner, MD, MPH, MacColl Institute for Healthcare Innovation
    Speakers: Pat Jacobsen, RN and Morris Askenazi, MD, La Casa-Quigg Newton Family Health Center (Denver, CO); Somava Stout, MD, Kirsten Meisinger, MD, Megan Littlefield, MD and Nitzali Rivera, MA, Cambridge Health Alliance (Boston, MA)
    video Audio & video program   Team Deployment Webinar Slides Printable slides  Mammogram Workflow Mammogram Workflow Sheet

  • Structured Communication Methods to Enhance Team-Based Care (November 23, 2009)
    Speaker: Sharon Eloranta, MD, Qualis Health
    video Audio & video program  Structured Communication Methods to Enhance Team-Based Care Slides Printable slides