Our current work proceeds directly from our early emphasis on activated patients and proactive practice teams

We continue to aim to better understand and inform the state of the art in high-functioning primary care teams. Recent work has included visiting innovative primary care teams across the U.S. to learn how care is being delivered by teams in new ways.

An effective primary care workforce is essential to better health and health care for all

To date, academic studies that examine primary care staff, training, and team functioning are still relatively scarce.  Many organizations recognize the need to revamp their workforce, and are experimenting with innovative team structures and role definitions.

Transforming primary care: healthier patients, happier staff

We know transformation of any kind is hard work.  That's why we created the Improving Primary Care Team Guide through our PCT-LEAP work.  An online tool for primary care teams, The Team Guide helps build high-functioning teams and provides practical, hands-on tools—easy to use, actionable and measureable.


Related Resources

A Guide to Integrating Cost-of-Care Conversations into Workflow

In "A Guide to Integrating Cost-of-Care Conversations into Workflow", Nora Henrikson, PhD discusses three pathways that clinicians can use to best integrate cost of care conversations into their clinical workflows. Support for this podcast was provided by the Robert Wood Johnson Foundation and the New York State Health Foundation.

How Do Innovative Primary Care Practices Achieve the Quadruple Aim?

"How Do Innovative Primary Care Practices Achieve the Quadruple Aim?", by Ed Wagner, Katie Coleman, et al, presents findings from 38 high-performing practices that can help guide  practices, payers, and policy makers in understanding more specifically how improved PCMH outcomes can be achieved. It describes the execution of 8 functions in these primary care settings that collectively meet patient needs, which include managing populations, providing self-management support coaching, providing integrat

Completing and Scoring the QICA

The Quality Improvement Change Assessment (QICA) is an assessment developed by Healthy Hearts NW for use in our project to introduce team members to the high leverage changes guiding our technical assistance approach, and to assess the current capabilities of enrolled practices. "Completing and scoring the QICA" provides instructions on using this tool.

Partnering to Succeed: How Small Health Centers Can Improve Care and Thrive Under Value Based Payment

How can small health centers contribute to a sustainable primary care safety net that achieves better care, better health, lower costs, happier staff, and reduced health disparities? They can partner to succeed. Read our March 2018 publication co-authored by JSI Research &Training, Inc.: Partnering to Succeed: How small health centers can improve care and thrive under value-based payment.

LEAP: Learning from Effective Ambulatory Practices (seminar)


Registered Nurses in Primary Care: Emerging New Roles and Contributions to Team-Based Care in High-Performing Practices

Our LEAP project examined the roles of RNs in 30 exemplary primary care practices.

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