Published online by Cambridge University Press: 30 June 2022
Transformation of our health-care systems is required to better meet the complex needs of our aging population as we confront the rise of health-care costs around the world. Older adults with multiple chronic health conditions can receive care that is fragmented, incomplete, inefficient, and ineffective. Care delivery and coordination of the complicated needs of older adults resides primarily in outpatient practice, both sub-specialty and primary care. However, the overall coordination is dependent on primary care practices, which through transformation into highly effective interprofessional teams can be designed and equipped to guide comprehensive care for all patients. The term “practice transformation” refers to a process of change in the organization and delivery of care to advance quality improvement and patient-centered care. Practice transformation is a continuous process that involves leadership, goal-setting, workflow changes, quality improvement, and reporting of outcomes. It requires adapting organizational tools and processes to support advances in models of team-based care.
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