J Am Coll Cardiol. 2015 May 19;65(19):2118-36. doi: 10.1016/j.jacc.2015.03.550.
The mission of the American College of Cardiology is "to transform cardiovascular care and improve heart health." Cardiovascular team-based care is a paradigm for practice that can transform care, improve heart health, and help meet the demands of the future. One strategic goal of the College is to help members successfully transition their clinical practices to the future, with all its complexity, challenges, and opportunities. The ACC's strategic plan is aligned with the triple aim of improved care, improved population health, and lower costs per capita. The traditional understanding of quality, access, and cost is that you cannot improve one component without diminishing the others. With cardiovascular team-based care, it is possible to achieve the triple aim of improving quality, access, and cost simultaneously to also improve cardiovascular health. Striving to serve the best interests of patients is the true north of our guiding principles. Cardiovascular team-based care is a model that can improve care coordination and communication and allow each team member to focus more on the quality of care. In addition, the cardiovascular team-based care model increases access to cardiovascular care and allows expansion of services to populations and geographic areas that are currently underserved. This document will increase awareness of the important components of cardiovascular team-based care and create an opportunity for more discussion about the most creative and effective means of implementing it. We hope that this document will stimulate further discussions and activities within the ACC and beyond about team-based care. We have identified areas that need improvement, specifically in APP education and state regulation. The document encourages the exploration of collaborative care models that should enable team members to optimize their education, training, experience, and talent. Improved team leadership, coordination, collaboration, engagement, and efficiency will enable the delivery of higher-value care to the betterment of our patients and society.
美国心脏病学会的使命是“改变心血管护理，改善心脏健康”。基于团队的心血管护理是一种实践模式，可以改变护理方式，改善心脏健康，并帮助满足未来的需求。学会的一个战略目标是帮助会员成功地将其临床实践过渡到未来，应对未来的复杂性、挑战和机遇。美国心脏病学会的战略计划与改善护理、改善人口健康和降低人均成本的三重目标保持一致。传统上对质量、可及性和成本的理解是，在不降低其他方面的情况下，无法改善其中任何一个方面。通过基于团队的心血管护理，可以同时实现改善质量、可及性和成本的三重目标，从而改善心血管健康。为患者提供最佳服务是我们指导原则的真正方向。基于团队的心血管护理是一种可以改善护理协调和沟通的模式，并使每个团队成员更专注于护理质量的模式。此外，基于团队的心血管护理模式增加了获得心血管护理的机会，并允许向目前服务不足的人群和地理区域扩大服务。本文档将提高对基于团队的心血管护理重要组成部分的认识，并为更多关于实施该护理模式的最具创意和有效的方法的讨论创造机会。我们希望本文档将激发美国心脏病学会内部和外部关于团队护理的进一步讨论和活动。我们已经确定了需要改进的领域，特别是在 APP 教育和州级监管方面。本文档鼓励探索协作护理模式，这应使团队成员能够优化他们的教育、培训、经验和才能。改善团队领导力、协调、协作、参与度和效率将使我们能够为患者和社会提供更具价值的护理。
