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Protocol No. 00045256Multiple PIs: Lynn DeBar, PhD, MPH and Katharine Bradley, MD, MPH___PATIENTCENTERED TEAMBASED PRIMARY CARE TO TREAT OPIOID USE DISORDER, DEPRESSION, AND OTHER CONDITIONS: THE
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Identify the patient's primary health concerns and goals.
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Assemble a diverse healthcare team including physicians, nurses, social workers, and other specialists.
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Schedule a team meeting to discuss the patient's individual needs and care plan.
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Assign specific roles and responsibilities to each team member based on their expertise.
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Develop a coordinated care strategy that includes regular communication and follow-ups.
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Involve the patient and their family in decision-making processes to ensure their preferences are respected.
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Monitor progress and adjust the care plan as needed based on patient feedback and health outcomes.

Who needs patient-centered team-based primary care?

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Patients with chronic illnesses requiring ongoing management and coordination of care.
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Those who benefit from collaborative care that includes mental health, social support, and regular check-ups.
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Patient-centered team-based primary care is a healthcare delivery model that emphasizes the coordinated care provided by a collaborative team of healthcare professionals who work together to meet the individual needs of patients, promoting better health outcomes and enhancing patient satisfaction.
Healthcare organizations, clinics, and providers that participate in patient-centered team-based primary care programs are typically required to file for patient-centered team-based primary care.
To fill out patient-centered team-based primary care documentation, providers must gather patient information, coordinate with team members, and complete the necessary forms, ensuring accurate details about the patient's health management and care coordination is included.
The purpose of patient-centered team-based primary care is to improve the quality of care delivered to patients through effective collaboration among healthcare providers, ensuring that care is tailored to the individual patient's needs and preferences.
Information that must be reported includes patient demographics, care coordination efforts, treatment plans, health outcomes, and any specific interactions that occur among the care team members and the patient.
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