The patient registration otherwise known as empanelment ‘means linking each patients to a care team and a primary care clinician. Even though empanelment requires constant monitoring, many practices have viewed it as foundational. Empanelment is the bases for the therapeutic relationship that is essential for good primary care. To improve continuity (block 7) and establish a patient-team partnership (block 5) it is desirable that patients and care teams know each other. Empanelment interacts closely with team formation because teams assume responsibility for their patient panel.

Empanelment enables the practice to calculate adjusted panel size, which determines whether each clinician and team has a reasonable balance between patients demand for care and the capacity to provide that care. Demand exceeding capacity impedes prompt access to care (block 8). Empanelment allows practices to adjust the workload among clinicians and teams.


Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.