Care is provided to both genders and all ages; includes all stages of the individual and family life cycles in continuous, healing relationships | Care is provided to both genders and all ages; includes all stages of the individual and family life cycles in continuous, healing relationships |
The doctor is center stage | The patient is center stage |
Unnecessary barriers to access by patients | Open access by patients |
Care is mostly reactive | Care is reactive and prospective |
Care is often fragmented | Care is integrated |
Paper medical record | Electronic health record |
An unpredictable package of services is offered | A defined package of services is offered reliably |
Individual patient oriented | Individual and population oriented |
Communication with practice is synchronous (in person or by telephone) | Communication with the practice is both synchronous and asynchronous (e-mail, Web portal, voice mail) |
Quality of care is assumed | Quality of care is continuously measured and improved |
The physician is the main source of care | A multidisciplinary team is the source of care |
Individual physician-patient visits | Individual and group visits involving several patients and members of the health care team |
Consumes knowledge | Consumes and produces knowledge |
Safety is assumed | Systems to insure safety are built in |
Experience based | Evidence based |
Haphazard chronic disease management | Purposeful, organized chronic isease management |
Struggles financially, undercapitalized | Positive financial margin, adequately capitalized |