Date of Graduation

Spring 5-17-2018

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

Program

Executive Leader DNP

First Advisor

Juli Maxworthy DNP, MSN/MBA, RN, CNL, CPHQ, CPPS, CHSE, FSSH

Second Advisor

Elena Capella EdD, MSN/MPA, RN, CNL, CPHQ, LNCC

Abstract

The Humboldt Independent Practice Association (IPA) has sought to improve the health of Humboldt County through practice transformation efforts. To date, Humboldt IPA’s primary care practice, the Priority Care Center, is building a foundation toward an Advanced Access model of care with an overarching aim of effectively improving access to quality care in Humboldt County. The 10 Building Blocks of High Performing Primary Care Practices framework set the stage for the intervention and was used as a roadmap to build an infrastructure for success. Team-based care was highlighted as the project relied on having systems and processes that empower the entire care team to expedite or provide care whenever possible. Without systems in place to support and guide staff in caring for patients, providers are held responsible for the bulk of patient care. This project posed a solution to the inefficient use of health care staff in a provider-centered model. We used a mixed-methods approach to measure success; aggregate data was collected in the form of Likert style surveys and staff were surveyed informally through face-to-face interviews. While the necessary steps were taken to create a robust infrastructure for team-based care, there is still much work to do to reach the overarching goal of Advanced Access. Innovative practices have demonstrated improved access, efficiency, and overall satisfaction among staff and patients, however, restructuring primary care practices to support a team-based model can be daunting. It is imperative that misconceptions about role and scope of practice are addressed, and that systems are put in place to safely allow for more expanded roles for healthcare staff.

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