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Allegheny Health Network implemented a team-based primary care transformation process across its large primary care network. Goals of the initiative included enhancing the quality and experience of care, improving population health, supporting clinician wellness, and preparing for the shift from volume- to value-based reimbursement models. Cohorts of 10 to 12 practices were sequentially introduced to the model and guided through the transformation process by a team of primary care clinical and operational leaders and a team of transformation specialists. The model included 3 components: (1) core care team staffing consisting of physicians, advanced practice providers, nurses, medical assistants, and health coaches; (2) process improvement including learning collaboratives and practice coaching from transformation specialists; and (3) the integration of behavioral health consultants, pharmacists, and registered dietitians into the care team. Key performance indicators were monitored throughout the transformation process and used to inform continuous process improvement.
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