title: The 10 building blocks of high-performing primary care.
abstract: Our experiences studying exemplar primary care practices, and our work assisting other practices to become more patient centered, led to a formulation of the essential elements of primary care, which we call the 10 building blocks of high-performing primary care. The building blocks include 4 foundational elements-engaged leadership, data-driven improvement, empanelment, and team-based care-that assist the implementation of the other 6 building blocks-patient-team partnership, population management, continuity of care, prompt access to care, comprehensiveness and care coordination, and a template of the future. The building blocks, which represent a synthesis of the innovative thinking that is transforming primary care in the United States, are both a description of existing high-performing practices and a model for improvement.
authors.affiliation: Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California.
authors.forename: Thomas
authors.initials: T
authors.lastname: Bodenheimer
authors.forename: Amireh
authors.initials: A
authors.lastname: Ghorob
authors.forename: Rachel
authors.initials: R
authors.lastname: Willard-Grace
authors.forename: Kevin
authors.initials: K
authors.lastname: Grumbach
mesh_terms: D003266:Continuity of Patient Care; D057286:Electronic Health Records; D005544:Forecasting; D018166:Health Care Reform; D006297:Health Services Accessibility; D006801:Humans; D007857:Leadership; D017146:Models, Organizational; D009937:Organizational Objectives; D010348:Patient Care Team / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration*; D058996:Quality Improvement; D014481:United States
keywords: medical; physician’s practice patterns; practice management; primary health care