Advantages & Weaknesses 2017-10-20T10:18:20+00:00

Coordinated Advantages

Level 1- Minimal Collaboration

Each practice can make timely and autonomous decisions about care Readily understood as a practice model by patients and providers

Level 2- Basic Collaboration at a Distance

Maintains each practice’s basic operating structure, so change in not a disruptive factor Provides some coordination and information-sharing that is helpful to both patients

Weaknesses

Level 1- Minimal Collaboration

Services may overlap, be duplicated or even work against each other Important aspects of care may not be addressed or take a long time to be diagnosed

Level 2- Basic Collaboration at a Distance

Sharing of information may not be systematic enough to effect overall patient care No guarantee that information will change plan or strategy of each provider Referrals may fail due to barriers, leading to patient and provider frustration

Co-located Advantages

Level 3- Basic Collaboration Onsite

Colocation allows for mare direct interaction and communication among professionals to impact patient care Referrals more successful due to proximity Opportunity to develop closer professional relationships

Level 4 Close Collaboration Onsite with Some System Integration

System issues may limit collaboration Potential for tension and conflicting agendas among providers as practice boundaries loosen

Co-located Weaknesses

Level 3 Basic Collaboration Onsite

Proximity may not lead to greater collaboration, limiting value Effort is required to develp relationships Limited flexibility, if traditional roles are maintained

Level 4 Close Collaboration Onsite with Some System Integration

System issues may limit collaboration Potential for tension and conflicting agendas among providers as practice boundaries loosen

Integrated Advantages

Level 5 Close Collaboration Approaching an Integrated Practice

High level of collaboration leads to more responsive patient care, increasing engagement and adherence to treatment plans Provider flexibility increases as system issues and barriers are resolved Both provider and patient satisfaction may increase

Level 6 Full Collaboration in a Transformed/Merged Integrated Practice

Opportunity to truly treat whole person All or almost all system barriers resolved, allowing providers to practice as high functioning team All patient needs addressed as they occur Shared knowledge base of providers increases and allows each professional to respond more broadly and adequately to any issue

Integrated Weaknesses

Level 5 Close Collaboration Approaching an Integrated Practice

Practice changes may create lack of fit for some established providers Time is needed to collaborate at this high level and may affect practice productivity or cadence or care

Level 6 Full Collaboration in a Transformed/Merged Integrated Practice

Sustainability issues may stress the practice Few models at this level with enough experience to support value Outcome expectations not yet established