Thirty Primary Care Practices Selected as Exemplary Models of Workforce Efficiency and Innovation

    • April 22, 2013

Princeton, N.J.—Following a rigorous nationwide review process, 30 primary care practices have been selected as exemplary models of workforce innovation and will form the basis for a new project: The Primary Care Team: Learning from Effective Ambulatory Practices (LEAP). The LEAP project, a joint initiative of the Robert Wood Johnson Foundation (RWJF) and the MacColl Center for Health Care Innovation at Group Health Research Institute, will study the 30 practices in depth to document practice innovations that make primary care more efficient, effective, and satisfying to patients and providers.

“The nation will not be able to train new primary care providers quickly enough to meet the needs of our country’s health system, so part of the solution must be to use the workforce we have more effectively,” said John Lumpkin, MD, MPH, RWJF senior vice president and director of RWJF’s Health Care Group.

“With millions more Americans about to enter the health care system, primary care must become more efficient and effective. Building high-performing care teams is a key step,” said Ed Wagner, MD, MPH, co-director of the LEAP project and director emeritus of the MacColl Center for Health Care Innovation.

The 30 practices selected represent a variety of settings, practice configurations, sizes, and locations and include private practices, large health systems, and community health centers across the country. They represent 20 states, and settings as varied as rural Colorado, inner-city New York, and Washington, D.C. A LEAP team is currently conducting three-day site visits to each of the 30 practices to better understand how each delivers high-quality, patient-centered primary health care. Site visits will continue through autumn 2013. The exemplar practices will then join together in a learning community to share best practices and distill their innovations into training and technical assistance materials that can be used by others across the United States.

“Now more than ever, the country recognizes that a great health care system has to build on a strong primary care foundation. We are seeing innovation all over the country, particularly in the area of primary care, but there has been little study of how practices have redefined traditional roles and built a team approach to caring for patients,” commented Margaret Flinter, PhD, APRN, LEAP project co-director, senior vice president and clinical director of the Community Health Center, Inc., and director of its Weitzman Center for Innovation. “We are very excited to have the opportunity to study these innovations that improve patient and practice outcomes, and to develop a strategy to replicate them nationally.”


About the Robert Wood Johnson Foundation

The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation’s largest philanthropy devoted exclusively to health and health care, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, measurable, and timely change. For 40 years the Foundation has brought experience, commitment, and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. When it comes to helping Americans lead healthier lives and get the care they need, the Foundation expects to make a difference in your lifetime. Follow the Foundation on Twitter ( or Facebook (

About the MacColl Center for Health Care Innovation at Group Health Research Institute

Named for a Group Health founder and pioneering physician, W.A. MacColl, MD, the MacColl Center for Health Care Innovation at Group Health Research Institute (GHRI) was established in 1992 by Ed Wagner, MD, MPH, who is a senior investigator and founding director of GHRI. In the mid-1990s, the Center developed the Chronic Care Model, a widely endorsed and adopted approach to improving ambulatory care that has guided clinical quality initiatives in the United States and internationally. The Center was also the home of Improving Chronic Illness Care, a Robert Wood Johnson Foundation program that has been involved in further developing, testing, and disseminating Chronic Care Model-based clinical improvement efforts. To learn more about this work, visit For information on Group Health Research Institute, go to

Media Contacts

Melissa Blair

Robert Wood Johnson Foundation (609) 627-5937