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Our funding for updating this website ended in 2011, but the resources we developed are still helping clinical practices from around the world to transform the care they provide to better serve patients with chronic illness. Please visit our home page to learn more—or check out our more recent tools and resources at:


Primary Care Team Guide

Primary care is changing
Across the U.S., health care practices are working to improve the quality of their care, become patient-centered medical homes, and qualify for new payment opportunities. The Primary Care Team Guide, developed by staff at the MacColl Center for Health Care Innovation, offers practical advice, resources, and models to help leaders and staff engaged in—or considering—practice transformation build more effective care teams and deploy them to optimize patient care.

Team-based care can enhance the support and health outcomes of individuals with chronic conditions
As the complexity and number of patients seeking care for chronic illness grows, primary care practices are required to organize in new ways to improve both care and access for these patients. Moving to team-based care can be integral to implementing the Chronic Care Model and becoming a Patient-Centered Medical Home.

The MacColl Center created the The Primary Care Team Guide to make the shift easier for practices
Team-based care is increasingly viewed as critical to good primary care and as the first step to becoming a patient-centered medical home. Yet the changes required in deploying and using clinicians and staff can be complicated. The Primary Care Team Guide shows practices how to build care teams and redesign the work of patient care to create more effective and productive practices. 

  • 6 learning modules address building the care team through expanded roles. 
  • 11 learning modules address refining the work of the practice for more efficient, patient-centered care.
  • Each module includes a self-assessment, brief background information, and specific action steps and tools.
  • More than 300 practical tools—from sample standing orders and workflows to video guides on promoting self-management—help practices make changes. 
  • Practices can start where they want and go at their own pace.
  • It’s free to use. 

Try the Team Guide for yourself!