Vol. 24 Annals of Health Law 320
procedures according to delegated autonomy, and the manner and degree of
physician oversight is adjusted to accommodate the needs of a respective
practice and its patients. 314
The evolution in furtherance of modernizing and reinforcing primary
care delivery systems gives PAs an important opportunity to set the pace for
innovation. 315 PAs are taking advantage of this opportunity, playing significant roles in transforming their practices to the PCMH model. 316 A PA at
TransforMED, a not-for-profit advisory program conceived by the AAFP to
advance and aid practices wishing to implement the PCMH model, has
committed to rallying and teaching team-building as family practices endeavor to develop into medical homes. 317 Initial data analysis from TransforMED indicated that when it instructed teams to exchange information
and ideas more effectively, and when providers were given the tools and resources necessary to utilize their team in a more significant way, the quality
of life of the providers increased. 318 The team-based care concept is also inherent in Washington State at Group Health Cooperative—a massive system that coordinates care and coverage. 319 Within this healthcare network, a
PA practices medicine with several physicians and another PA while simultaneously serving as the medical chief of the Redmond Medical Center.320
Although the patient panels are within the sole purview of the physicians,
the PAs regularly facilitate their management. 321 The PA also oversees elderly patients, who often have intricate and complicated medical issues. 322
Group Health also takes advantage of the many technological advances that
have been made in recent years as part of its patient-centered approach. 323
Each interaction with a patient is called a “touch” and modern telephone automation allows patients to link precisely to their primary care providers by
keying in their medical history number. 324
Another example of PA leadership within the PCMH model of care is
found in the medical home criterion of timely access to care, including
314. See ISSUE BRIEF, supra note 304, at 2, 4.
315. See Leslie Kole, Transforming Primary Care: PAs and Patient-centered Medical
Homes, PA PROF., 20, 21 (Oct. 2012) (“The PA profession has been firmly rooted in providing primary care since its inception. The movement toward redesigning and strengthening
primary care delivery systems gives PAs tremendous opportunities to be leaders in innovation.”).
317. Id. at 22.
319. Id. at 23.
323. Id. at 25.