DESIGNED FOR

Designed for health system leaders—including primary care and specialty leaders—who understand why fragmented care can be so problematic.       

OVERVIEW AND BENEFITS

Fragmentation and poor communication harm the ability of medical professionals to provide the best care. This report comprises three separate profiles at three health systems in the United States—Kaiser Permanente Colorado, Mayo Clinic, and University of New Mexico Health Sciences Center—in search of better ways to provide care. This report features published research and phone interviews from top institutions on the most important concepts in primary care and population management programs:

• Five initiatives at Kaiser Permanente Colorado: advice referrals; real-time virtual consults; primary care liaisons; population management programs within specialty care; and educational opportunities and resources for physicians.
• Three initiatives at the Mayo Clinic: the use of electronic consultations (eConsults) among physicians; the embedding of specialty-trained nurse practitioners and physician assistants in primary care clinics (and primary care physicians in specialty departments); and the development of care process models that define roles and relationships between primary and specialty care in the management of conditions.
• Details about Project ECHO at the University of New Mexico Health Sciences Center, which developed teleECHO clinics and community health worker training programs that aim to improve health outcomes for people living in rural and other medically underserved areas of New Mexico by more equitably distributing the specialized knowledge and health care delivery practices concentrated at academic health centers.

Download the report to discover how the innovations at these health centers:

• Enhance the ability of primary care providers to tap into the expertise of their specialist colleagues with minimal disruption to the workflow.
• Improve access to specialty visits for patients who need them.
• Reduce costs of care and increase convenience for patients.

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This publication was developed by the AAMC to advance medical education. It is provided to the medical community at no cost for that purpose.

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