Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Barriers and Facilitators to Team-Based Care in the Context of Primary Care Transformation

Cromp, DeAnn MPH; Hsu, Clarissa PhD; Coleman, Katie MSPH; Fishman, Paul A. PhD; Liss, David T. PhD; Ehrlich, Kelly MS; Johnson, Eric MS; Ross, Tyler R. MA; Trescott, Claire MD; Trehearne, Barbara PhD, RN; Reid, Robert J. MD, PhD

Journal of Ambulatory Care Management: April/June 2015 - Volume 38 - Issue 2 - p 125–133
doi: 10.1097/JAC.0000000000000056
Original Articles

The patient-centered medical home model relies on team-based care for meaningful practice transformation. This article adds to the literature on the importance of teams in primary care by exploring the barriers and facilitators to establishing high functioning teams during a patient-centered medical home transformation process.

Supplemental Digital Content is Available in the Text.

Center for Community Health and Evaluation (Ms Cromp and Dr Hsu), Group Health Research Institute (Mss Coleman and Ehrlich, Drs Fishman and Reid, and Messrs Johnson and Ross), Seattle, Washington; Primary Care, Group Health Cooperative, Seattle, Washington (Drs Trescott and Trehearne); and Division of General Internal Medicine and Geriatrics, Northwestern University, Chicago, Illinois (Dr Liss).

Correspondence: DeAnn Cromp, MPH, Center for Community Health and Evaluation, Group Health Research Institute, 1730 Minor Ave, Ste 1600, Seattle, WA 98101 (

This research was carried about with funding from the Agency for Healthcare Research and Quality and in kind support from Group Health Cooperative. DeAnn Cromp, Kelly Ehrlich, Clarissa Hsu, Katie Coleman, Tyler R. Ross, Eric A. Johnson, and Paul A. Fishman are employed by Group Health Research Institute (GHRI), which is a nonproprietary, public domain research institution within Group Health. GHRI is funded almost entirely through external grants and contracts. Barbara Trehearne receives salary support from Group Health Cooperative. At the time of manuscript writing, Robert J. Reid and Claire E. Trescott were shareholders and received salary support from Group Health Physicians, the physician group affiliated with Group Health.

The authors thank the Group Health Primary Care Leadership Team for their support and assistance and Group Health staff members at clinics that participated in the evaluation site visits for sharing their time, trust, and insights. The authors also thank Chris Tachibana, PhD, for scientific editing, and Rebecca Phillips for manuscript preparation, both part of Group Health Research Institute.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved