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2012 HSR&D/QUERI National Conference Abstract

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2012 National Meeting

2017 — Strategies Supporting the VA Transition to Patient-Aligned Care Teams

White SOsatuke K, and Barnes S, VHA National Center for Organization Development; Mohr DBenzer J, and White B, HSR&D Center for Organization, Leadership and Management Research (COLMR); Dyrenforth S, VHA National Center for Organization Development;

Workshop Objectives:
Traditionally, healthcare systems including the Veterans Health Administration (VHA) have delivered patient services through structures and processes centered on providers’ tasks. VHA leadership determined this approach had to change and patient-centered care became a focus of the organizational transformation. A major component of this change is a patient-driven team approach to primary care delivery, consisting of four-person “teamlets” with the patient as a fifth team member. VHA National Center for Organization Development is heavily involved in this transformation, developing and disseminating the national training module for working in teams. COLMR has been investigating team structure and process characteristics related to effective primary care delivery. This workshop reviews and systematizes the state of empirical and practical knowledge relevant to supporting the VHA transition to team-based care. The workshop participants will: a) become familiar with the concepts of team-based primary care, b) methods of disseminating and implementing these concepts, c) identify how these concepts/methods apply to their organizational contexts, d) learn which implementation aspects VHA care providers experience as helpful versus challenging, and e) identify strategies of enhancing the strengths and addressing challenges as applicable to their specific goals and work environments.

This 90-minute workshop includes: (a) a 20-minute presentation explaining the team-based approach to primary care, prior research, and its importance to VHA; (b) a 20-minute experiential component for participants to use the just-introduced team dimensions to identify core attributes for engaged and effective teams; (c) a 20-minute summary of VHA strategies promoting team-based primary care; (d) a 15-minute interactive review of qualitative research findings based on interviewing VHA primary care providers; and (e) a 15-minute brain storming session to identify successful take-home approaches to disseminate and implement these strategies.

Target Audience:
Practicing managers and researchers with some background in implementation studies, interested in developing a greater understanding of practices and a broader set of skills in applying the team-based approach to services provided by their organizations.

Assumed Audience Familiarity with Topic:
The workshop assumes some familiarity with the transition to team-based primary care and little to no familiarity with implementation methods and ways to address specific challenges facing primary care providers.

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