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The practice provides a range of patient care services by:
Defining roles for clinical and nonclinical team members
Holding regular team meetings and communication processes (critical factor)
Using standing orders for services
Training and assigning care teams to coordinate care for individual patients
Training and assigning care teams to support patients and families in self-management, self-efficacy and behavior change
Training and assigning care teams for patient population management
Training and designating care team members in communication skills
Involving care team staff in the practice’s performance evaluation and quality improvement activities