Will Lewis, PDBE Dissertation Proposal Defense
Understanding how the Team-Based Clinical Module is used for Delivering Care in Patient-Centered Medical Home Clinics
Primary care in the United States has shifted from a physician-centered approach to a multidisciplinary, team-based approach. This new approach has resulted in many day-to-day changes in the care delivery process including how clinical staff collaborate; interact with patients; and use space, equipment, and various technologies. Team-based approaches to care delivery, such as the Patient-Centered Medical Home (PCMH) model, are demonstrating improvements in patient health outcomes. Thus, many large healthcare organizations such as the United States Military Health System (MHS) have adopted this model for primary care clinics. A team-based clinical module is emerging as a spatial concept that provides each team with the resources needed for delivering care. Interestingly, several different designs of team-based clinical modules exist in the military clinics despite the MHS emphasis on standardization. The purpose of this study is to investigate how these new clinical modules impact the delivery of team-based care using a qualitative approach combining a case study and grounded theory research design. Three PCMH clinics with different design concepts for a team-based clinical module in the United States Military Health System are studied to understand the strengths and challenges of each design. Semi-structured interviews and ethnographic observations are used to gain insight from primary care providers, registered nurses, licensed practical nurses and specialty care providers. Findings from this study are translated into planning and design recommendations for team-based approaches to primary care.
Friday, January 12 at 12:20pm to 1:30pm
Lee Hall, Lee 2-318
323 Fernow St., Clemson, SC 29634, USA