Table 2

Problems and Innovations

Problem	Innovation
Unplanned visits with overfull agendas	Previsit planning Preappointment laboratory tests
Inadequate support to meet the patient demand for care	Sharing the care^a 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