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Publications
Publications
  • April–June 2018
  • Article
  • Journal of Ambulatory Care Management

Establishing Teams: How Does It Change Practice Configuration, Size, and Composition?

By: Alyna Chien, Michael Anne Kyle, Antoinette S. Peters, Shalini Tendulkar, Molly Ryan, Karen Hacker and Sara J. Singer
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Abstract

Little is known about how practices reorganize when transitioning from traditional practice organization to team-based care. We compared practice-level (1) configuration as well as practice- and team-level (2) size and (3) composition, before and after establishing teams. We employed a pre-/poststudy using personnel lists of 1571 to 1711 staff (eg, job licenses, titles, and team assignment) and practice manager surveys. All personnel (physician and nonphysician) worked within 18 Massachusetts academic primary care practices participating in a 2-year learning collaborative aimed at establishing team-based care. We found that establishing team-based care can involve changing practice configurations and composition without substantially changing practice size.

Keywords

Academic Medicine; Primary Care; Team-based Care; Health Care and Treatment; Groups and Teams; Organizational Change and Adaptation

Citation

Chien, Alyna, Michael Anne Kyle, Antoinette S. Peters, Shalini Tendulkar, Molly Ryan, Karen Hacker, and Sara J. Singer. "Establishing Teams: How Does It Change Practice Configuration, Size, and Composition?" Journal of Ambulatory Care Management 41, no. 2 (April–June 2018): 146–155.
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More from the Authors

    • December 2021
    • Journal of General Internal Medicine

    Primary Care Access During the COVID-19 Pandemic: a Simulated Patient Study

    By: Michael Anne Kyle, Renuka Tipirneni, Nitya Thakore, Sneha Dave and Ishani Ganguli
    • August 2021
    • Medical Care Research and Review

    A Mixed Methods Study of Change Processes Enabling Effective Transition to Team-based Care

    By: Michael Anne Kyle, Emma-Louise Aveling and Sara J. Singer
    • Spring 2020
    • MIT Sloan Management Review

    Establishing High Performing Teams: Lessons from Health Care

    By: Michael Anne Kyle, Emma-Louise Aveling and Sara J. Singer
More from the Authors
  • Primary Care Access During the COVID-19 Pandemic: a Simulated Patient Study By: Michael Anne Kyle, Renuka Tipirneni, Nitya Thakore, Sneha Dave and Ishani Ganguli
  • A Mixed Methods Study of Change Processes Enabling Effective Transition to Team-based Care By: Michael Anne Kyle, Emma-Louise Aveling and Sara J. Singer
  • Establishing High Performing Teams: Lessons from Health Care By: Michael Anne Kyle, Emma-Louise Aveling and Sara J. Singer
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