4.B) Personal Clinician Continuity

Building Teams in Primary Care: Lessons Learned External Link

Videos - December 11, 2013
California HealthCare Foundation -
Report (2007) reviewing the importance and features of highly-functioning teams, including case studies that identify barriers and important lessons. Also includes a description of a "teamlet" model which includes a few clinical team members connected to an extended support system outside of the team.

VA Patient Aligned Care Team (PACT) Model External Link

Tools & Guides - December 11, 2013
US Department of Veterans Affairs -
U.S. Department of Veterans Affairs model of team based care that includes the patient, a provider, a nurse care manager, a medical assistant and administrative staff member. Website contains general resources about engaging a team, as well as specifics about how tasks can be divided among the team.

Eight Steps to a Chart Audit for Quality External Link

Tools & Guides - December 6, 2013
American Academy of Family Physicians (AAFP) -
Article reviewing the purpose and steps to do a chart audit as means of checking on clinic team performance and identifying areas for improvement. The purpose of this article is to describe some scenarios in which a chart audit might be helpful and to offer step-by-step instructions for doing one.

Referrals, Access and Continuity

Webinar  - 
Wednesday, November 15, 2017 -
7:30am to 8:30am

Join PCPCH program staff for this in-depth technical assistance webinar on implementing four of the most transformative measures in the PCPCH model.  PCPCH program staff will share best practices they have learned from visiting 5 STAR designated clinics across the state.  Featured measures include: