The empowerment paradox as a central challenge to patient centered medical home implementation in the veteran's health administration.

Abstract:

:In this paper we present results of a mixed methods study conducted to identify barriers to team function among staff implementing patient aligned care teams - the Department of Veterans Affairs' patient centered medical home (PCMH) model. Using a convergent mixed methods design, we administered a standardized survey measure (Team and Individual Role Perception Survey) to assess work role challenge and engagement; and conducted discussion groups to gather context pertaining to role change. We found that the role of primary care providers is highly challenging and did not become less difficult over the initial year of implementation. Unexpectedly over the course of the first year nurse care managers reported a decrease in their perceptions of empowerment and clerical associates reported less skill variety. Qualitative data suggest that more skilled team members fail to delegate and share tasks within their teams. We characterize this interprofessional knowledge factor as an empowerment paradox where team members find it difficult to share tasks in ways that are counter to traditionally structured hierarchical roles. Health care systems seeking to implement PCMH should dedicate resources to facilitating within-team role knowledge and negotiation.

journal_name

J Interprof Care

authors

Solimeo SL,Ono SS,Lampman MA,Paez MB,Stewart GL

doi

10.3109/13561820.2014.937480

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

26-33

issue

1

eissn

1356-1820

issn

1469-9567

journal_volume

29

pub_type

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