Patient-Centered measurement (PCM) Team
Mapping may identify new roles, tasks and
issues for primary care clinics that require
attention, especially in resource-limited
settings. Longitudinal Care Alignment can
disclose different views of care-team members
toward PCM and their workflows that vary depending
on expected roles in relation to PCM data
collection and use. Digital Tool Exploration can
enhance understanding of the level of patient,
care team and technology readiness and help
determine when, where and how PCM can be
implemented to improve patient-team interactions
and team performance. Team-based Quality Improvement
can be an extension to existing panel management
initiatives already familiar to clinics, and
supported at the region. Shared Learning may identify
opportunities for patients to have their care
needs validated and care team members to learn
about what matters most to patients.
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Expansion of PCM adoption effort to include (a).
PCM-relevant, tailored online resources to help
patients learn about themselves and possible
strategies for managing their own health and (b)
resources for clinicians to interpret PCM
data. Digital options to incorporate PCM into primary
care, especially in resource-limited settings, are
viewed as problematic if not integrated. Human and fiscal resources will be needed to
incorporate PCM data, expanded queries and
follow-up actions as part of ongoing quality
improvement. The next step in conducting advanced analytics
and developing actions requires team members who
understand population level analysis which can be
translated to a clinical level. Current fee-for-service structure does not
encourage reimbursement for PCM collection, use
and sharing. Transferability of the PCM methods to other
patient populations and context
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