PT - JOURNAL ARTICLE AU - Timmins, Lori AU - Felt-Lisk, Suzanne AU - Zhu, Wenjia AU - Merrill, Angela AU - Zurovac, Jelena AU - Johnson, Shawan AU - Everhart, Damian AU - Flemming, Robert TI - Practice Transformation in the Transforming Clinical Practice Initiative and Emergency Department Use AID - 10.1370/afm.3119 DP - 2024 Jul 01 TA - The Annals of Family Medicine PG - 325--328 VI - 22 IP - 4 4099 - http://www.annfammed.org/content/22/4/325.short 4100 - http://www.annfammed.org/content/22/4/325.full SO - Ann Fam Med2024 Jul 01; 22 AB - To provide insight on how ambulatory care practices can reduce emergency department (ED) visits, we studied changes in Medicare ED visits for primary and specialty care practices in the Transforming Clinical Practice Initiative. We compared practices that transformed more vs less during the 6-year period ending in 2021 (3,773 practices). Using data from a practice transformation assessment tool completed at multiple intervals, we found improvement in the transformation score was associated with reduced ED visits by 6% and 4% for primary and specialty care practices, respectively, 3 to 4 years after first assessment. Transformation in 5 of 8 domains contributed to reduced ED visits.