Teamlet Structure and Early Experiences of Medical Home Implementation for Veterans

Challenges with Delivering Gender-Specific and Comprehensive Primary Care to Women Veterans

“…It might also be valuable to have contingency plans in place for times when those staff members with whom WH-PCPs work with most closely are out sick, on vacation or otherwise occupied. Recent research has also noted the challenge of cross-coverage in teamlets and highlighted the need for clear cross-coverage policies in order to improve PACT implementation (Rodriguez et al, 2014).…”

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

“…[11][12][13][14] Prior studies have indicated that lack of understanding of roles within PCMH models is an important source of confusion and dissatisfaction among PCPs and staff. [15][16][17] Yet the degree to which staff and PCPs agree regarding allocation or sharing of specific primary care tasks is not known.…”

Huddle up!

“…Our survey results indicate that less than half of huddling PCPs indicated that huddles were ''very useful'' for implementing PACT, highlighting opportunities for improving physicians' experiences of huddles. Existing VA personnel were reorganized into teamlets, generally without their input (Rodriguez et al, 2014). Consequently, some PCPs may have positive attitudes about huddles but may not find them ''very helpful'' because of interpersonal challenges with their teamlet members.…”

“…We hypothesized that member experiences of teamlet huddles would shape teamwork perceptions and individual experiences of organizational communication, decision-making, psychological safety, and leadership facilitation among lower-status teamlet members compared to PCPs. The teamwork and practice climate experiences of PCPs and LPNs, the most consistent members of teamlets (Rodriguez et al, 2014), appear to be most strongly impacted by huddle participation.…”