PURPOSE The Using Learning Teams for Reflective Adaptation (ULTRA) study used
facilitated reflective adaptive process (RAP) teams to enhance communication and decision …

Team-based care is considered central to achieving value in primary care, yet results of
large-scale primary care transformation initiatives have been mixed. We explore how …

Background: The implementation of interventions to support practice change in primary care
settings is complex. Pragmatic strategies, grounded in empiric data, are needed to navigate …

Background There is a plethora of interventions and policies aimed at changing practice
habits of primary healthcare professionals, but it is unclear which are the most appropriate …

Background External change agents can play an essential role in healthcare organizational
change efforts. This systematic review examines the role that external change agents have …

PURPOSE Practice facilitation is an evidence-informed implementation strategy to support
quality improvement (QI) and aid practices in aligning with best evidence. Few studies …

Redesigning the US healthcare system to support patientcentered primary care has become
a national priority to improve quality. 1–3 Models for primary care redesign both promote the …

Engaging individual members of clinical teams in practice improvement initiatives is a
challenge. In this commentary, we first summarize evidence supporting enhanced …

Background Central to the patient-centered medical home model are high functioning
interdisciplinary teams, which aim to improve care coordination and patient self …

PURPOSE Practice transformation is the cornerstone of the future of family medicine and
health care reform, but little is known about how the process occurs. We sought to develop …