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OtherReflections

Changing Horses Midstream: The Promise and Prudence of Practice Redesign

David Loxterkamp and Louis A. Kazal
The Annals of Family Medicine March 2008, 6 (2) 167-170; DOI: https://doi.org/10.1370/afm.822
David Loxterkamp
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Louis A. Kazal Jr
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    Table 1.

    Ten Pearls for Practice Improvement

    1. Be the leader

    2. Choose a project that fits your practice

    3. Learn from the experience of others

    4. Get your coworkers invested and involved

    5. Communicate with them regularly

    6. Break your project into small, sequential steps

    7. Budget for the added expense; bill for the added service

    8. Test your assumptions and modify your plans

    9. Tell your tale: share your experience with others

    10. Find joy in the irrepressibility of change

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    Changing Horses Midstream: The Promise and Prudence of Practice Redesign

    David A. Loxterkamp, MD, and Louis A. Kazal, Jr, MD

    Background Two participants in the pilot project of TransforMED, the American Academy of Family Physicians' practice redesign initiative, reflect on the crisis in primary care and offer insights on practice change. These insights come from their own experience with practice transformation and a retreat for practices in the project's self-directed group. The authors conclude that relationships remain the centerpiece of family medicine.

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The Annals of Family Medicine: 6 (2)
The Annals of Family Medicine: 6 (2)
Vol. 6, Issue 2
1 Mar 2008
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Changing Horses Midstream: The Promise and Prudence of Practice Redesign
David Loxterkamp, Louis A. Kazal
The Annals of Family Medicine Mar 2008, 6 (2) 167-170; DOI: 10.1370/afm.822

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Changing Horses Midstream: The Promise and Prudence of Practice Redesign
David Loxterkamp, Louis A. Kazal
The Annals of Family Medicine Mar 2008, 6 (2) 167-170; DOI: 10.1370/afm.822
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    • CRISIS AND RESPONSE
    • CONFERENCE STRUCTURE
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Cited By...

  • Context for Understanding the National Demonstration Project and the Patient-Centered Medical Home
  • Implementing the Patient-Centered Medical Home: Observation and Description of the National Demonstration Project
  • What Truly Matters: Relationships and Primary Care
  • Journey to the Future of Family Medicine
  • In This Issue: What Patients Value and How to Provide It
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More in this TOC Section

  • Do I Return to the Community That Traumatized Me?
  • The Joy and Grief of Knowing Your Patient
  • The Face of God Revealed
Show more REFLECTIONS

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