"Our goal  (with Healthy Hearts Northwest) is to build a sustainable infrastructure for ongoing improvements in the delivery of primary care in the Pacific Northwest that contributes to the Triple Aim, improves the experiences of those who provide care within the practice, and prepares primary care providers for value-based care reimbursement models."  - Principal Investigator Michael Parchman, MD, MPH

Here is a printable list of the primary care practices participating in the PCT-LEAP project.

Our team provides assistance to the 16 communities participating in Aligning Forces for Quality, advising the National Program Office on regional quality improvement (QI) strategies, community drivers for improved healthcare, and how to sustain QI structures and supports once the grant period has ended. MacColl’s  Dr. Ed Wagner has also served on its National Advisory Committee since 2007.

To help clinical teams lift the quality of patient transitions and referrals, The Commonwealth Fund supported MacColl via Reducing Care Fragmentation to author a complementary set of materials aimed towards patient-centered medical home transformation.

The 42-month Team Up for Health initiative, funded by The California HealthCare Foundation, brought patients, their families and clinical teams together to define and test processes leading to better self-management of chronic conditions.

The Safety Net Medical Home Initiative engaged Medical Home Facilitators to coach 65 primary care practices towards becoming patient-centered medical homes.

The Improving Chronic Illness Care website helps health care systems change the care they provide for chronically ill patients, with a special emphasis on underserved populations.  The site is a trusted destination for researchers, clinicians, and other stakeholders seeking evidence-based quality improvement materials.