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Cheat Sheet

Primary Care Roles 101

    In order to meet the full range of patient needs in primary care, care teams have to include individuals with diverse skillsets. That’s why we see organizations expanding team-based primary care, especially as value-based payment becomes a larger portion of the business model. As your organization looks to expand your care team, it can be difficult to identify exactly which roles to invest in. Do you need a pharmacist or an RN care manager?

    This series of cheat sheets provides four-page introductions to different members of the primary care team, including considerations on funding the role, the deployment model, and KPIs.

    Clinical pharmacist

    The clinical pharmacist supports care for high-risk patients by optimizing patient medication regimens, facilitating medication adherence, and providing chronic disease education

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    RN care manager

    The RN care manager supports high- and rising-risk patients with multiple chronic conditions and/or psychosocial needs to help them navigate clinical and non-clinical services and improve self-management.

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    Community health worker

    The CHW is a non-clinical team member who serves as a liaison between the patient and health system. They help surface and address patients’ unmet social needs and promote chronic disease self-management.

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    Licensed clinical social worker (LCSW)

    The LCSW addresses patients’ behavioral and non-clinical needs through counseling and providing connections to non-clinical resources available in the community.

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    Want to make the case for adding one of these roles to the care team? Download these ready-to-use slides on primary care transformation.

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