Delivery System Design:
Use Planned Visits in Individual and Group Settings
- Obtain senior leadership’s support for planned visits, especially to resolve potential reimbursement issues relating to group settings.
- Block time for providers in advance.
- Use the registry to identify patients in need of visits.
- Have community health workers, volunteers, or appointing staff call and schedule patients for visits.
- Train staff in planned visit approach. A planned visit should contain an assessment, review of therapy, review of medical care, self-management goals, problem solving, and follow-up plan.
- Assemble a patient visit team, including a provider, nurse, nursing assistant, intake worker, and person in charge of immunization and referrals.
- Use group visits to deliver care. A group visit brings together eight to 20 patients to deliver medical care in a group setting; all patients are in the same room, and providers come to the group to take vital signs, discuss issues, and answer questions.
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