Establishing Teams: How Does It Change Practice Configuration, Size, and Composition?

The Journal of Ambulatory Care Management
Alyna T ChienSara J Singer

Abstract

Little is known about how practices reorganize when transitioning from traditional practice organization to team-based care. We compared practice-level (1) configuration as well as practice- and team-level (2) size and (3) composition, before and after establishing teams. We employed a pre-/poststudy using personnel lists of 1571 to 1711 staff (eg, job licenses, titles, and team assignment) and practice manager surveys. All personnel (physician and nonphysician) worked within 18 Massachusetts academic primary care practices participating in a 2-year learning collaborative aimed at establishing team-based care. We found that establishing team-based care can involve changing practice configurations and composition without substantially changing practice size.

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Citations

Nov 27, 2018·JAMA Internal Medicine·David J MeyersMeredith B Rosenthal
Oct 10, 2018·Health Care Management Review·Joanna Veazey BrooksSara J Singer
Apr 3, 2018·Medical Care Research and Review : MCRR·Sara J SingerRussell Phillips
Aug 28, 2020·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Kevin H NguyenMeredith B Rosenthal
Feb 26, 2021·Health Care Management Review·Shehnaz AlidinaEmma-Louise Aveling
Jul 26, 2019·Medical Science Educator·Joanna Veazey BrooksAntoinette S Peters

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