Primary Care 2.0

In April of 2015, Stanford Health Care embarked on a 20-month intentional design process to develop a team-based model of primary care called Primary Care 2.0. Initial prework entailed a 4-month assessment of the local market including ethnographic interviews with 22 demographically diverse members of the Bay Area community and 9 site visits of high-performing primary care practices by 33 Stanford Medicine stakeholders, including health system and School of Medicine senior leadership. During the subsequent 16-month design phase, a multidisciplinary group of Stanford Medicine stakeholders followed the methodology of Integrative Facility Design, i.e. system design, target condition, macro design, and micro design. 

The group ultimately designed a care model for 10,000 patients. In June of 2016, Stanford Primary Care Santa Clara began delivering this new model of care. The quadruple aim served as the framework for the evaluation. Thus far, Primary Care 2.0 at Stanford has been associated with gains in growth, access, quality and professional satisfaction among both medical assistants and primary care providers.