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Redesigning Primary Health Care Teams for Population Health and Quality Improvement

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Over a the-year period, Penobscot Community Health Care, a federally qualified health center in Maine, implemented a primary care transformation initiative that redesigned its care teams and their workflows. Under this “Delegate Model,” Penobscot physicians assign tasks that they used to perform to trained care team medical assistants (CTMAs). The goal of delegation was to reduce the physicians’ administrative burden, boost clinic capacity, and better support prevention and chronic disease management.

This project summary describes team structure and roles under the Delegate Model, use of standing orders, core responsibilities of CTMAs, costs of training and implementation, and implementation challenges. John Snow, Inc., 2017.

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