As part of a planned approach to care for all patients (e.g., those with chronic conditions as well as all patients needing screening and preventive services), a reminder system can be used to trigger a specific care team/patient interaction. Automatic systems that are generated from an electronic medical record or registry are especially effective, but the same concept can be used with manual systems. The triggering system prompts staff to schedule some type of interactions (e.g., phone call, visit appointment, email communication, etc.) with the patient at a prescribed time.