Systems often disrupt the patient-physician relationship | Systems support continuous healing relationships |
Care is provided to both sexes and all ages; includes all stages of the individual and family life cycles in continuous, healing relationships | Care is provided to both sexes and all ages; includes all stages of the individual and family life cycles in continuous, healing relationships |
Physician is center stage | Patient is center stage |
Unnecessary barriers to access by patients | Open access by patients |
Care is mostly reactive | Care is both responsive and prospective |
Care is often fragmented | Care is integrated |
Paper medical record | Electronic health record |
Unpredictable package of services is offered | Commitment to providing directly and/or coordinating a defined basket of services |
Individual patient oriented | Individual and community 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 and safety of care are assumed | Processes are in place for ongoing measurement and improvement of quality and safety |
Physician is the main source of care | 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 | Generates new knowledge through practice-based research |
Experience based | Evidence based |
Haphazard chronic disease management | Purposeful, organized chronic disease management |
Struggles financially, undercapitalized | Positive financial margin, adequately capitalized |