• The Center for Excellence in Primary Care features the Union Health Center (UHC) in its Bright Spots in Primary Care series.  The article talks about how UHC is committed to using their health coaching program to help patients gain the knowledge, skills and confidence to help self-manage their chronic conditions and the integration of highly skilled coaches  into their primary care clinical teams.

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  • The Advisory Board Company features Union Health Center taking the medical home to the next level by re-examining care team roles. The UHC profile describes how top-of-license practice often requires formal structures that foster continuous staff growth through curriculum and career ladder development.

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  • UHC’s redesign of care to the team model  that includes training and a career ladder for medical assistants is used as an example of how to improve patient outcomes, provide advancement opportunities for staff and lower costs at the same time.  This article  looks at business practices that are effective in creating strategic and financial gains and how the formulas of these sites  are adoptable by similar businesses .  It also shows how lower-wage workers, when supported by effective policies, boost  productivity, quality, innovation, and revenues. In the process, the value added by frontline employees rises and they garner significant and sustained wage gains and career advancement.

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  • UHC utilizes physician-directed care teams to provide care to patients that allows each team member to work at the top of their license or scope of practice. This approach helps the Center support clinic workflows that improve the care and experience patients receive.

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  • May 05, 2014

    UHC Career Ladder

    UHC expanded the role of their medical assistants (MA) by providing continuous training, skill enhancements, and task allocation to support the health center’s care teams. The career ladder defines roles and standardized responsibilities that advance the MA scope of practice and contributes to their professional development.

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  • The Center for the Health Professions at UCSF provides an update on the original 2010 case study of the Union Health Center’s  (previously known as UNITE HERE Health Center) initiative that expanded the medical assistant role to provide health coaching for patients with chronic conditions within a team-based care model. A curriculum training was developed and career ladder created to advance in skills, responsibilities and pay scale.

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  • Patient-Centered Primary Care Collaborative (PCPCC) describes how care team members at Union Health Center use patient registries to manage patients with chronic  conditions.

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  • To prevent costly emergency department visits and hospitalizations, a handful of care-delivery models offer high-intensity primary care to a subset of patients with complex or multiple chronic conditions, such as diabetes, congestive heart failure, obesity and depression. Early assessments of high-intensity primary care programs show promise, but these programs’ success in improving quality of care and lowering costs rests on the engagement of both physicians and patients.

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  • Medical assistants are trained as health coaches to teach patients individually to manage their chronic diseases and facilitate behavior change. They monitor patients’ progress and function as key members of medical home teams. This health center transforms the role of the medical assistant by developing its own  training curriculum and creating a career ladder that rewards them with skills development and salary advancement.

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