Problem | Innovation |
---|---|
Unplanned visits with overfull agendas | Previsit planning Preappointment laboratory tests |
Inadequate support to meet the patient demand for care | Sharing the carea Expanded nurse or medical assistant rooming protocol Standing orders Extended responsibility for health coaching, care coordination, and integrated behavioral health to nonphysician members of the team Team responsibility for panel management |
Great amounts of time spent documenting and complying with administrative and regulatory requirements | Scribing Assistant order entry Standardized prescription renewal |
Computerized technology that pushes more work to the physician | In-box management Verbal messaging |
Teams that function poorly and complicate rather than simplify the work | Improving team communication through Co-location Huddles Regular team meetings Improving team functioning Systems planning Work flow mapping |
↵a These roles require 2- or 3-to-1 clinical support per physician.