The foundation to achieving Quadruple Aim outcomes is patient-centered access to the care team. With the changing health care environment and increased need for access to care and information, care teams are struggling to effectively manage patients’ acute, chronic, and preventive care needs. In response to the varied demands, health teams have focused on strengthening traditional and alternative access to care and information, developing a team model of care, and developing team-based accountability for improving patient experience, quality, and cost of care.

This section focuses on the importance of establishing a trusted and continuous relationship between the patient and care team, and providing the care and health team the access families need, when they need it, and perhaps via alternate access options.

Patient cycle time observation is a tool to measure the time it takes a patient to move through each part of the visit. Understanding the patient care processes and procedures in your practice, and the impact on the patient flow, will help you to improve the quality of care.


One major goal of the Patient-Centered Medical Home (PCMH) is to improve continuity of care between patients and providers and reduce the utilization of non-primary care services like the emergency department (ED).


To determine demand, measure all requests for care for one week.

Demand in primary care is usually highest on Mondays with seasonal increases during the winter months.


Practices can expand patient access by effectively utilizing health information technology (HIT) such as patient portals and advanced telecommunications. 

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