Table 2.

Components of practice-based or centralized care management program structures

Component	Practice-Based	Centralized
Patient entry into CM program	Physician or practice member identifies and refers at risk patient, usually during visit	Physician identifies and refers at risk patient to the care manage to call the patient back later; or patient is called by the care manager based on risk adjusted list
Communication	Many types of communication: electronic medical record, ad hoc, huddles, regular meetings	Fewer types of communication: electronic medical record, monthly meetings, none at all
Team-ness	Extension of physician practice; care manager does what is needed	Separate resource; care manager is an agent of the PO
Physician description of care management program	How we deliver care here	Great resource that I can refer my patients to