Problem to be solved: There is a significant trust gap between our private medical practices and our health system. This historic tension has interfered with the tremendous potential to develop a strong, team-based approach to improve care for our patients together. As we move forward in healthcare with patient-centered care and population health, our patients are asking for and expecting consistent clinical information sharing, communication, and care coordination across care venues and between private practices and the health system. One barrier to this information sharing is of course the presence of separate electronic records systems that lack interoperability, but before we attempt to address the IT barriers to effective care coordination, we need to improve our team trust. The shared value proposition that all these teams have in common is the collective goal of improving the care and wellbeing of all of our patients.
As we design new models of care coordination in our hybrid environment of private practice physicians and health system employed physicians working together, we need new and creative approaches to improve trust and collaboration. What are the strategies that others have used to help rebuild and maintain trust in this type of scenario?