--- title: "Team care coordination: pt- & family-centered primary care. | Sutter Health" description: "Medical team quarterbacks were perceived as enhancing team-based care by facilitating the coordination/communication critical to pt- and family-centered care." url: "https://www.sutterhealth.org/research/publications/team-care-coordination-pt-family-centered-primary-care-1055312638" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Team care coordination: pt- & family-centered primary care. # Function of the medical team quarterback: patient, family, and physician perspectives on team care coordination in patient- and family-centered primary care. Gray MF, Sweeney J, Nickel W, Minniti M, Coleman K, Johnson K, Mroz T, Forss B, Reid R, Frosch D, & Hsu C. _Perm J. 2019;23. doi: 10.7812/TPP/18.147. Epub._ 2019-08-26 ## Abstract CONTEXT: Patient- and family-centered care (PFCC) literature is growing, but few reports present patient, caregiver, and practitioner perspectives about care coordination in a team-based model. OBJECTIVE: To understand the patient's, caregiver's, and physician's ideal forms of PFCC, we investigated the function of the medical team quarterback, who coordinates and advocates for appropriate care, and probed to understand how the quarterback works with a team to contribute to ideal PFCC. DESIGN AND MAIN OUTCOME MEASURES: Nine focus groups with 92 participants were held in 3 major cities. Patients (n = 35) and family members (n = 36) were recruited through market research groups. Physicians (n = 21) were recruited by the American College of Physicians. Focus group transcripts were analyzed and coded using inductive analysis. RESULTS: The quarterback emerged as an important function for addressing care gaps and improving the care experience. We identified 6 themes articulated by participants that defined the role of a medical team quarterback: Overseeing care; coordinating diagnoses, tests, and treatments; advocating for patients; identifying and respecting patient values; proactively communicating; and solving problems. Patients and family members in our sample were open to different members of the care team acting as quarterback in coordination with the physician. CONCLUSION: Medical team quarterbacks were perceived as enhancing team-based care by facilitating the coordination/communication that is critical to PFCC. Patients and family members acknowledged that PFCC can be delivered by different members of the medical team if the care felt organized and coordinated with the primary care physician. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/31496495) ## Research topics - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Effect of Physician-specific Pay-for-Performance Incentives in a Large Group Practice](https://www.sutterhealth.org/research/publications/physician-specific-pay-for-performance-incentives-1055312564) Chung S, Palaniappan LP, Trujillo LM, Rubin HR, Luft HS Am J Manag Care. 16(2):e35-42 2010 Feb 01 - Publication ### [Sharing experiences and expertise: the Health Care Systems Research Network workshop on patient engagement in research.](https://www.sutterhealth.org/research/publications/hcsrn-workshop-pt-engagement-research-1055312503) Madrid S, Tuzzio L, Stults CD, Wright LA, Napolitano G, Dillon E, Tabano H, Greene SM. J Patient Cent Res Rev. 2016;3:159-66. 2016 Aug 12 - Publication ### [Changes in healthcare utilization after lifestyle intervention for weight loss](https://www.sutterhealth.org/research/publications/changes-in-healthcare-utilization-for-weight-loss-1055312948) Sudat, Sylvia Changes in healthcare utilization after lifestyle intervention for weight loss \[published online ahead of print 2023 Oct 29\]. Am J Prev Med. 2023;S07 2023 Oct 29 - Publication ### [Contextual conditions and performance improvement in primary care.](https://www.sutterhealth.org/research/publications/context-for-performance-improvement-in-primary-care-1055312436) Hung DY, Harrison MI, Liang SY, Truong QA. Qual Manag Health Care. 28(2):70-77. doi: 10.1097/QMH.0000000000000198. 2019 Apr 01 - Publication ### [Time is up: increasing shadow price of time in primary-care office visits.](https://www.sutterhealth.org/research/publications/increasing-shadow-price-of-time-in-pc-visits-1055312555) Tai-Seale M, McGuire T. Health Econ. 21(4):457-76. doi: 10.1002/hec.1726. Epub 2011 Mar 27. 2012 Apr 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/team-care-coordination-pt-family-centered-primary-care-1055312638#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Team care coordination: pt- & family-centered primary care."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/team-care-coordination-pt-family-centered-primary-care-1055312638#medicalscholarlyarticle","name":"Function of the medical team quarterback: patient, family, and physician perspectives on team care coordination in patient- and family-centered primary care.","headline":"Team care coordination: pt- & family-centered primary care.","abstract":"CONTEXT: Patient- and family-centered care (PFCC) literature is growing, but few reports present patient, caregiver, and practitioner perspectives about care coordination in a team-based model. OBJECTIVE: To understand the patient's, caregiver's, and physician's ideal forms of PFCC, we investigated the function of the medical team quarterback, who coordinates and advocates for appropriate care, and probed to understand how the quarterback works with a team to contribute to ideal PFCC. DESIGN AND MAIN OUTCOME MEASURES: Nine focus groups with 92 participants were held in 3 major cities. Patients (n = 35) and family members (n = 36) were recruited through market research groups. Physicians (n = 21) were recruited by the American College of Physicians. Focus group transcripts were analyzed and coded using inductive analysis. RESULTS: The quarterback emerged as an important function for addressing care gaps and improving the care experience. We identified 6 themes articulated by participants that defined the role of a medical team quarterback: Overseeing care; coordinating diagnoses, tests, and treatments; advocating for patients; identifying and respecting patient values; proactively communicating; and solving problems. Patients and family members in our sample were open to different members of the care team acting as quarterback in coordination with the physician. CONCLUSION: Medical team quarterbacks were perceived as enhancing team-based care by facilitating the coordination/communication that is critical to PFCC. Patients and family members acknowledged that PFCC can be delivered by different members of the medical team if the care felt organized and coordinated with the primary care physician.","description":"Medical team quarterbacks were perceived as enhancing team-based care by facilitating the coordination/communication critical to pt- and family-centered care.","keywords":["Health Services"],"datePublished":"2019-08-26","url":"https://www.sutterhealth.org/research/publications/team-care-coordination-pt-family-centered-primary-care-1055312638","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"31496495"},{"@type":"PropertyValue","propertyID":"DOI","value":"10.7812/TPP/18.147"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/31496495/","https://doi.org/10.7812/TPP/18.147"],"isPartOf":{"@type":"Periodical","name":"Perm J"},"author":[{"@type":"Person","name":"Gray MF"},{"@type":"Person","name":"Sweeney J"},{"@type":"Person","name":"Nickel W"},{"@type":"Person","name":"Minniti M"},{"@type":"Person","name":"Coleman K"},{"@type":"Person","name":"Johnson K"},{"@type":"Person","name":"Mroz T"},{"@type":"Person","name":"Forss B"},{"@type":"Person","name":"Reid R"},{"@type":"Person","name":"Frosch D"},{"@type":"Person","name":"Hsu C"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Health Services","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Health+Services%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/team-care-coordination-pt-family-centered-primary-care-1055312638","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/team-care-coordination-pt-family-centered-primary-care-1055312638#breadcrumblist"}}} ```