Huddle up!

Rodríguez, Hector P.; Meredith, Lisa S.; Hamilton, Alison B.; Yano, Elizabeth M.; Rubenstein, Lisa V.

doi:10.1097/hmr.0000000000000036

Cited by 69 publications

(49 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[30][31][32] It is encouraging that more training in PACT was linked to more task sharing among PCPs. Participation in huddles was linked to less perception of being relied upon among staff, perhaps suggesting that huddles led to greater targeting of responsibility among different staff members rather than a perception of generally being relied upon for everything.…”

Section: Discussionmentioning

confidence: 90%

Who is responsible for what tasks within primary care: Perceived task allocation among primary care providers and interdisciplinary team members

et al. 2015

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 90%

Who is responsible for what tasks within primary care: Perceived task allocation among primary care providers and interdisciplinary team members

et al. 2015

Self Cite

View full text Add to dashboard Cite

“…10–12 Huddles provide regular opportunities for CHW learning and feedback, planning interventions for clients, and addressing workflow and communication issues. 10,11 Huddles create opportunities for collective problem solving and team building and ensure awareness of integrative care delivery. CHWs also receive checklists and instruction in and reinforcement of core skills during these meetings.…”

Section: Lesson 7: Chw Supervisionmentioning

confidence: 99%

Top 10 Things You Need to Know to Run Community Health Worker Programs: Lessons Learned in the Field

Whiteman

Gibbons

Smith

et al. 2016

Southern Medical Journal

View full text Add to dashboard Cite

“…Incorporating discussions of PHP into team huddles may be one strategy to facilitate better communication. 19,39 Successful implementation of new practices requires buy-in among those tasked with delivery. When stakeholders are engaged in the design of new practice innovations, they may be more likely to adopt them.…”

Section: Discussionmentioning

confidence: 99%

“…Yet sites struggled to adequately engage PCPs in the PHP process, mirroring research on how demands faced by PCPs may limit engagement in transformational initiatives. 13,22,39,42 This raises important questions for future research regarding the role of PCPs as team leaders in PCMH and related distribution of work when implementing PHP. Further, when providers both in and outside of the clinic have limited knowledge of PHP, patients may receive mixed messages about treatment priorities.…”

Section: Discussionmentioning

confidence: 99%

Integrating Personalized Care Planning into Primary Care: a Multiple-Case Study of Early Adopting Patient-Centered Medical Homes

et al. 2019

View full text Add to dashboard Cite

BACKGROUND: Personalized care planning is a patientcentered, whole-person approach to treatment planning. Personalized care plans improve patient outcomes and are now mandated for chronic care management reimbursement. Yet guidance on how to best implement personalized care planning in practice is limited. OBJECTIVE: We examined the adoption of personalized care planning in patient-centered medical home (PCMH) clinics to identify processes and organizational characteristics that facilitated or hindered use in routine practice. DESIGN: Qualitative multiple-case study design. We conducted site visits at PCMH clinics in four US Veterans Health Administration (VHA) medical centers. Data included 10 general clinic observations, 34 direct observations of patient-provider clinical encounters, 60 key informant interviews, and a document review. Data were analyzed via qualitative content analysis using a priori and emergent coding. PARTICIPANTS: Employees and patients participating in clinical encounters in PCMH clinics at four VHA medical centers. KEY RESULTS: Each clinic used a distinct approach to personalized care planning: (1) distributed tasks approach; (2) two-tiered approach; (3) health coaching approach; and (4) leveraging a village approach. Each varied in workflow, healthcare team utilization, and degree of integration into clinical care. Across sites, critical components for implementation included expanding planning beyond initial assessment of patient priorities; framing the initiative for patients; using a team-based approach to care plan development and updates; using communication mechanisms beyond the electronic health record; and engaging stakeholders in implementation planning. CONCLUSIONS:Personalized care planning is a novel patient-centered practice, but complicated to implement. We found variation in effective implementation and identified critical components to structuring this practice in a manner that engages patients in treatment aligned with personal priorities. Primary care practices seeking to implement personalized care planning must go beyond simply asking patients a series of questions to establish a plan. They must also engage team members in plan development, communication, and dissemination.

show abstract

Huddle up!

Abstract: In order to improve the impact of huddles on patient care, practice leaders should clearly communicate the goals, requirements, and benefits of huddling and provide adequate time and resources to ensure that frontline teams use huddle time to improve patient care.

Cited by 69 publications

References 21 publications

Who is responsible for what tasks within primary care: Perceived task allocation among primary care providers and interdisciplinary team members

Who is responsible for what tasks within primary care: Perceived task allocation among primary care providers and interdisciplinary team members

Top 10 Things You Need to Know to Run Community Health Worker Programs: Lessons Learned in the Field

Integrating Personalized Care Planning into Primary Care: a Multiple-Case Study of Early Adopting Patient-Centered Medical Homes

Contact Info

Product

Resources

About