HealthTeamWorks’ model of Practice Transformation captures more than twenty years of experience gained training hundreds of practices to improve their work and optimize patients’ experience of care. Our approach builds on the existing strengths of practices and advances networks toward achieving the Quadruple Aim and including a fifth aim of optimizing business processes. The 5-Point Aims are increased clinical quality, lowered costs, improved patient experience, workplace satisfaction, and thriving healthcare businesses.
Nationwide, forward-thinking providers of care are not merely responding to the existing trends in reimbursement, they are proactively planning transformation for both near-term and long-term success in the shift from volume-to-value. Successful transformations focus on the impact and value of the journey, rather than a static ending point.
Practice Transformation at HealthTeamWorks is a data-informed, outcome-based approach to advanced primary and specialty care. Operationalizing medical home and building block concepts are not sufficient unless those functions result in measurable improvement in quality outcomes, affordable care (total cost of care), and practice vitality. Healthcare is indeed local, and therefore dependent on patient & family engagement, integrated services, community-clinical linkages, and parallel transformation across settings.
Chief Strategy Officer, HealthTeamWorks
National Learning Network Facilitation
Regional Learning Network Facilitation
Regional Learning Network Facilitation
Coaching and HIT Support
Coaching, HIT Support, and Behavioral Health Integration support
No two practice transformation implementation plans will be identical as all practices have unique strengths and opportunities for improvement as well as specific quality improvement goals and milestones.
For Integrated Delivery Networks, HealthTeamWorks defines four Domains of Performance supported by Pillars of Performance. Advanced Systems of Primary and Specialty Care & Advanced Team Work comprise one such Pillar of Performance, the success of which is driven by Practice Commitment, Practice Model and Support for Advanced Systems of Practice.
High-value population health management requires a foundation of high-performing, team-based primary care powered by high-value clinically relevant data analytics and IDN support services (including PI, coaching, HIT); effective patient-centered care across the network also requires specialty care providers/practices develop high-functioning teams (and other best practices of APC).
IDN strategic prioritization, infrastructure support and workforce development for advanced primary care as the standard network model for primary care.
Advanced teamwork model ("APC," based on Bodenheimer's 10 Building Blocks): collaborative, prepared, proactive, TOL roles, data-powered; patient (PFAC) and network integration; teamlet staffing; advanced access & non-visit care (telehealth, eVisits); practice leadership (champion & sponsor).
Resources and support for development of advanced systems of practice (both primary and specialty care), ongoing performance improvement and data engagement facilitated by practice transformation coaches; practice performance and best practices routinely shared across the network.
Direct Primary Care development and IDN support based on a hybrid, APC-integrated model ("Integrated Direct Primary Care"--DPCi).
Advanced Primary Care workforce and support development: new skills, accountabilities, roles (such as advanced MA, practice transformation coaches).
Driving Clinical and Business Successes
With more than 20 years of experience in patient-centered practice and system transformation, HealthTeamWorks applies proven best-practices to our network client engagements. This 5-Part Aim IMPACT Portfolio focuses on the DNA of high-performing networks and on HealthTeamWorks’ impact data which demonstrates the breadth and depth of our team’s subject matter expertise. We meet our network clients where they are on the journey from volume-to-value and empower delivery system changes, provider collaboration and market leading improvements to achieve the 5-Part Aim: improved clinical care and patient experience, lowered costs, workplace satisfaction, and thriving healthcare businesses.5-Part Aim Impact Portfolio