Team Care

Director: Shaylee Peckens, MD   

Assistant Directors: Rachelle Peklinsky, MSN APRN, FNP-BC & Susan Lewis, BSN, RN-BC

With increasing administrative requirements and changes to the reimbursement model, there is increasing demand on primary care physicians. Documentation is a time-consuming but vital component of patient care. As health care providers function under increasing time constraints, the implementation of a team care model will enlist ambulatory care assistants (ACAs) to help with data gathering and organization, visit note documentation, and patient education. This model increases the face-to-face time between the doctor and the patient during the office visit. It also allows the medical assistants the opportunity to be more fully engaged in patient care and to have more direct and meaningful patient contact.

Team Care Model - 1 Physician and 2 Team Care ACAs

  • The first Team Care ACA completes all intake requirements and gathers ROS and past medical, family, and social history and documents this in a note in the EH. The ACA signs the pended note with the attestation statement.
  • ACA then leaves the room and presents to the physician and they then enter the room together.
  • The physician confirms gathered information, obtains HPI, and performs the physical exam while the ACA is recording this information in the EHR.
  • The physician makes medical assessments, management decisions, and articulates the plan to patient and ACA. During this time, the ACA documents in the EHR as instructed by the physician and also pends and associates orders with diagnoses that are articulated by the physician.
  • The physician and ACA then leave the room allowing the physician to sign pended orders and scripts/other forms if needed. The provider will also review the note, make any addendums/additions, and sign the note with the attestation statement.
  • The physician can then start this process with the next patient prepped by the second ACA. The first ACA returns to his/her patient’s room with the after visit summary, reviews orders, medications, and wraps up the patient visit.

The Team Care ACA will also help the physician with: inbox and physical mailbox, medication refills/pharmacy phone-ins, and other paperwork. He/she will also do some pre-visit planning and patient calls.

Goals of Team Care

  • Increase patient access
  • Increase provider productivity
  • Increase efficiency/decrease scheduling wait times
  • Improve quality measures
  • Increase patient, provider, and clinical staff satisfaction    

For more information, please contact Shaylee Peckens, MD

A photo of Shaylee Peckens.

Shaylee Peckens, MD

West Virginia University
Assistant Professor, Director of Department Quality, Family Medicine