RT Journal Article SR Electronic T1 Practice Transformation in the Transforming Clinical Practice Initiative and Emergency Department Use JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 325 OP 328 DO 10.1370/afm.3119 VO 22 IS 4 A1 Timmins, Lori A1 Felt-Lisk, Suzanne A1 Zhu, Wenjia A1 Merrill, Angela A1 Zurovac, Jelena A1 Johnson, Shawan A1 Everhart, Damian A1 Flemming, Robert YR 2024 UL http://www.annfammed.org/content/22/4/325.abstract 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.