Much has been clarified about how to do this for primary care and less so for speciality offices. This domain of experience and knowledge is called IDCOP (Idealized Design of Clinical Office Practice). This approach requires discipline, commitment, and ongoing management. Small offices run for and by the provider often cannot manage the ongoing discipline, commitment and management.
Dartmouth promotes “Clinical Microsystems”. In addition to these predecessors, many are now promoting Primary Care Medical Homes.
Some of us are quite focused upon the primary care physician in the belief that they can play the transformative role in health care.
It is important to understand the limits of these kinds of changes on the overall outcomes of healthcare system–for instance on the triple aim goals of cost, population health and experience of care.