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

Article Figures & Data

Tables

  • 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

Additional Files

  • The Article in Brief

    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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