Differences in Team Mental Models Associated With Medical Home Transformation Success

Article Figures & Data

Table 1

Descriptions of Macrocognitive Functions

Function	Description
Sensemaking and learning (SL)	Deliberate attempt to find coherent situational understanding
	Modifying a mental model or generating a new one
	Includes sense giving (presenting an understanding to others to adopt)
Decision making (DM)	Decisions in, or about, patient care and administrative processes
Planning and replanning (PL)	Shaping or reshaping patient care or administrative processes
Monitoring and problem detection (MD)	Tracking the progress or outcomes of patient care or administrative processes
Monitoring and problem detection (MD)	Planned, ad hoc (“noticing”), formal (data collection), or informal
Managing the unknown, unclear, unexpected, and irregular (MU)	Planned or anticipatory (contingencies, fallbacks)
	Evaluating/estimating risks
	Unplanned, “scrambling”
Coordinating (CO)	Any activity that helps synchronize 2 or more individuals in a patient care or administrative process, especially transmitting information or expectations
Coordinating (CO)	Maintenance of “common ground,” shared expectations/understanding/mental models of processes

Table 2

Participant, Practice, and Focus Group Characteristics

Characteristic	Number
Participants (n = 42)
Physicians^a
Men	10
Women	4
Early adopters	3
Early majority	15
Staff
Men	0
Women	15
RN or LPN	7
MOA or manager (clinical)	5
Practice manager (nonclinical)	2
Dietician	1
Practices (n = 18)
Setting
Rural	8
Urban	10
Location
North	9
South	9
Focus groups (n = 2)
Total participants
Focus group 1	6
Focus group 2	7
Participant credentials
RN (including chronic disease management nurses)	12
Other (MOA, LPN)	1
Participant employment
Directly by clinic	1
By a primary care network	12
Participant practice setting
Rural	3
Urban	9
Both	1