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OtherReflectionsA

The Teamlet Model of Primary Care

Thomas Bodenheimer and Brian Yoshio Laing
The Annals of Family Medicine September 2007, 5 (5) 457-461; DOI: https://doi.org/10.1370/afm.731
Thomas Bodenheimer
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Brian Yoshio Laing
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Abstract

The 15-minute visit does not allow the physician sufficient time to provide the variety of services expected of primary care. A teamlet (little team) model of care is proposed to extend the 15-minute physician visit. The teamlet consists of 1 clinician and 2 health coaches. A clinical encounter includes 4 parts: a previsit by the coach, a visit by the clinician together with the coach, a postvisit by the coach, and between-visit care by the coach. Medical assistants or other practice personnel would require retraining to assume the health coach role. Some organizations have instituted aspects of the teamlet model. Primary care practices interested in trying out the teamlet concept need to train 2 health coaches for each full-time equivalent clinician to ensure smooth patient flow.

  • Primary health care
  • delivery of health care
  • health care team
  • organizational innovation

Annals Journal Club selection—see inside back cover or http://www.annfammed.org/AJC/.

  • Received for publication November 30, 2006.
  • Revision received May 12, 2007.
  • Accepted for publication May 17, 2007.
  • © 2007 Annals of Family Medicine, Inc.
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The Annals of Family Medicine: 5 (5)
The Annals of Family Medicine: 5 (5)
Vol. 5, Issue 5
1 Sep 2007
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The Teamlet Model of Primary Care
Thomas Bodenheimer, Brian Yoshio Laing
The Annals of Family Medicine Sep 2007, 5 (5) 457-461; DOI: 10.1370/afm.731

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The Teamlet Model of Primary Care
Thomas Bodenheimer, Brian Yoshio Laing
The Annals of Family Medicine Sep 2007, 5 (5) 457-461; DOI: 10.1370/afm.731
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  • Article
    • Abstract
    • INTRODUCTION
    • WHAT IS A TEAMLET?
    • THE TEAMLET MODEL
    • POTENTIAL CHALLENGES
    • TRAINING HEALTH COACHES
    • FINANCIAL SUSTAINABILITY OF THE MODEL
    • IMPLEMENTING PARTS OF THE MODEL
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