Table 1.

Examples of Building Block Elements Implemented by Both the SFHN and UCSF Health

Building Block Element	Example
Engaged leadership	Primary care service lines led by executive medical and administrative/nursing directors teams, regular staff and clinician meetings, Lean management including daily huddles, formal leadership training for some clinic managers
Data-driven improvement	Performance dashboards regularly provided at the clinic and individual PCC levels, transparent posting of dashboards in clinics
Empanelment	All patients formally empaneled with a PCC, panel sizes computed for each PCC and adjusted for patient complexity, panel size targets adjusted for clinical FTE effort
Team-based care	Behavioral health integration or coordination, scribes for some PCCs, complex care teams, pharmacists at some sites
Patient-team partnership	Patient advisory councils at most clinics
Population management	Registries and panel management to close preventive and chronic care gaps
Prompt access to care	Call centers, modified scheduling templates to improve access, active management of new patient appointment scheduling

FTE = full-time equivalent; PCC = primary care clinician; SFHN = San Francisco Health Network; UCSF = University of California San Francisco.