A Collaborative Care Plan, a useful tool for all members of the health care team, is a one- to two-page document that’s completed jointly by the patient and clinical team. Together, the team defines and details goals, the action plan for achieving goals, and responsibilities of each team member. It’s a simple form but an effective way to keep everyone on the same page – literally!

You can also visit the Patient-Centered Medical Home (PCMH) section of this website for more information about patient-centered care. PCMH is a new approach to comprehensive primary care that facilitates a partnership between individual patients and their health care team. The goal is to allow better access to health care, increase satisfaction with care, and improve patient health outcomes.

Lastly, be sure to use your practice environment to empower patients and improve care.

  • The average patient spends 45 minutes in waiting and exam rooms during an office visit. Take this opportunity to educate your patients. Most national associations have free or low-cost patient education brochures, posters, and videos available. Companies are also making digital media available for physician waiting rooms. Visit the resource section below for more information.
  • Set up Group Visits: Inviting patients to participate in peer support groups can improve self-management skills and result in better health outcomes. Group visits, used in place of or in addition to usual one-on-one primary care, offer advantages in length, focus, patient interaction, and added structure. Click here to get started.


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