PTI: Team-Based Care

Organizational Level Resources:

Understanding Team Based Care

10 Building Blocks On-Demand Webinars Overview and history

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10 Building Blocks On-Demand Webinars: Calculating and weighting panels

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10 Building Blocks On-Demand Webinars: Continuous panel size management

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10 Building Blocks On-Demand Webinars: Team Based Approach to Panel Management

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10 Building Blocks On-Demand Webinars: Core steps to caring for patients with complex needs

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Exemplar Practice Site Visit Summary – PAMF & St. Joe’s

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How to Operationalize Team Based Care – multiple perspectives – Stanford Coordinated Care, North Coast Improvement & Information Network (NCHIIN), Sharp Community Medical Group (SCMG), etc.

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Practice Level Resources:

Huddle

Huddle workflow – Ravenswood Family Health Center

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Dyad Huddle Standard Work

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Practice Level Resources:

Share the Care

Job Description Back Office Medical Assistant/Care Coordinator (Allied Pacific IPA)

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MA Health Coach Job Description – Humboldt IPA

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MA Skills Competency – Central Valley Health Team

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MA Workflow Diabetes (Allied Pacific IPA)

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Visit Anticipation Tool (Lifelong)

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Practice Level Resources:

Warm handoff

Warm Handoff Checklist

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Warm Handoff Scenarios

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Warm Handoff Standard Work

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Practice Level Resources:

Standing Orders

Standing Order CCS (Applecare)

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Standing Order Diabetes Care (Applecare)

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Standard Work examples

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Select External Resources

Implementing Team Based Care (AMA)

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Huddle Evaluation Form (AMA)

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