Photo Essay

  • LaToyia Pickett, LPN, meets with patients at SAMA Health Care in El Dorado, Ark.
  • Dr. Gary Bevill leads the orange team at SAMA Health Care, in El Dorado, Ark., where the focus of the clinic is to prevent and manage health conditions to avoid costly, preventable crises.
  • The orange team at SAMA Healthcare Services, where the model is of team-based care,€“ not the old-fashioned one-doc-one-patient model but four physician-led teams that use electronic records and diverse skills. Here, from left to right: Dr. Gary Bevill, Candy Cates, LPN, Lorrie Rapp LPN, and Christina Navarrete, LPN.
  • An examination room at SAMA Health Care, where the focus is on team-based care, not the old-fashioned one-doc-one-patient model.
  • Dr. Gary Bevill meets with patients at SAMA Health Care, in El Dorado, Ark. SAMA Health Care, where the focus is on team-based care instead of the old-fashioned one-doc-one-patient model.
  • Dr. Gary Bevill, left, teaches Candy Cates, LPN, how to examing the feet of a diabetes patient at  SAMA Health Care, in El Dorado, Ark. Preventative care and reduction in hospital stays are a major focus of clinics like SAMA.
  • SAMA Health Care, where team-based care is the focus rather than not the old-fashioned one-doc-one-patient model. Here, Quinta Davis, one of the licensed practical nurses (LPN) who works at the clinic.
  • Christy Buhrman, APRN, meets with patients at SAMA Health Care. The clinic has four teams that work as units to ensure that each of their patients gets enough care, support and follow-up to stay well and avoid hospitalization.
  • A pharmaceutical company delivers lunch every day to the nurses and doctors at SAMA Health Care, for free. Today: Popeyes.
  • Two sister wait to see a doctor at SAMA Health Care, in El Dorado, Ark.
  • Christina Navarrete, LPN, a licensed practical nurse and part of the orange team, at SAMA Health Care, in El Dorado, Ark.
  • Dr. Gary Bevill meets with a young patient at SAMA Heath Care, in El Dorado, Ark.
  • Candy Cates, LPN, enjoys lunch from Popeyes, provided by a pharmaceutical company to the nurses and doctors at SAMA Health Care.
  • A patient sits ready for a foot exam at SAMA Health Care, where four teams of doctors and nurses focus on team-based care and not the old-fashioned one-doc-one-patient model.
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The pioneers of a health care revolution

Updated

In the south Arkansas town of El Dorado (rhymes with tornado), SAMA Health Care is pioneering a more efficient model of medical practice. Each doctor leads a team that includes a nurse practitioner, three RNs and a care coordinator. By managing health rather than reacting to illnesses, the teams are reducing costs and sparing people needless medical crises.

Read more: Inside Arkansas’ health care revolution.