Recruitment CHMG was busy in FiscalYear 2017 adding providers and services to meet our patients’medical needs. A total of 39 new providers joined CHMG this year. Of those, 21 were primary care providers specializing in family medicine, hospital medicine, pediatric hospital medicine, palliative care and geriatrics. CHMG also successfully recruited 18 specialty care providers specializing in cardiology, dentistry, dermatology, endocrinology, general surgery, neurology, obstetrics, gynecology, psychology, pulmonology, urology and vascular surgery. In addition, nocturnists – physicians who work at night – were hired to support obstetrics and gynecology. Team-BasedCare When patients enter CHMG medical practices, they become active members of an amazing team. Everyone from physicians and nurses to advanced providers, physician assistants, clinicians and other staff work together to provide the most appropriate care to patients, while improving their own processes to ensure precious healthcare resources are used most efficiently and effectively. Team-based care is a critical strategy to improve access and provider satisfaction while engaging patients and our community. It also is helping us prepare for a future in which healthcare systems will be paid based on their ability to consistently deliver high-value care measured by cost and quality. For patients, team-based care provides: § More time interacting with their physician or advanced provider, improving their experience; § More resources to support diverse needs; § More opportunities to develop self-care management skills and be active members in their healthcare team; § Improved access to their healthcare team. Implementing a team-based model requires fundamental changes in the way medical practices operate. Accomplishing that goal requires extensive, ongoing training, first to learn how to set up and work on teams, then to address changes to improve care and the way the practice operates. In 2017, CHMG provided training including: § Building leadership teams CHMG started by making sure practice leaders had the skills they need to lead change and build a solid foundation for change at their practices. Sessions focused on clarity and agreement on shared roles and responsibilities, mutual expectations, creating norms for how they communicate and how they can hold one another accountable in ways that enhance trust and respect.The training is helping practice leadership teams build more cohesive patient care teams as they transition toward becoming Patient-Centered Medical Homes (PCMH).The PCMH is a model of care that puts patients at the forefront. (See story on page 24.) § Building patient care teams To accomplish the transition toward becoming PCMHs, physicians, advanced providers, clinicians and other practice staff are making significant changes in how they work together.Toward that end, Concord Hospital’s Organizational Development Department and CHMG practice leadership presented training to help develop high-performing patient care teams.The training covered many of the same important topics as the leadership sessions, including increasing the alignment of team members around a common purpose and vision. § Redesigning practices Providing health care has become more complex because of regulations, changes in technology and patient expectations. Physicians and advanced providers can feel overwhelmed with tasks required during an office visit. Inadequate preparation often results in post-visit follow up that is unplanned, creating hours of extra work. Practice redesign aims to remove barriers and streamline how the medical staff provides the most appropriate care at the right time and place.The first steps in practice redesign training were to improve communication and collaboration in the care team. 20 cohesive patient care teams as they transition toward becoming Patient-Centered Medical Homes (PCMH).The PCMH is a model of care that puts patients at the forefront. (See story on page 24. § Building patient care teams To accomplish the transition toward becoming PCMHs, physicians, advanced providers, clinicians and other practice staff are making significant changes in how they work together.Toward that end, Concord Hospital’s Organizational Development Department and CHMG practice leadership presented training to help develop high-performing patient care teams.The training covered many of the same important topics as the leadership sessions, including increasing the alignment of team members around a common purpose and vision. § Redesigning practices Providing health care has become more complex because of regulations, changes in technology and patient expectations. Physicians and advanced providers can feel overwhelmed with tasks required during an office visit. Inadequate preparation often results in post-visit follow up that is unplanned, creating hours of extra work. Practice redesign aims to remove barriers and streamline how the medical staff provides the most appropriate care at the right time and place.The first steps in practice redesign training were to improve communication and collaboration in the care team. Leading with Quality, Safety and Service Jodi Schroeder, APRN CONCORD HOSPITAL MEDICAL GROUP EPSOM FAMILY MEDICINE