Written by: Jennifer Wright

This is a story of practice transformation in a small primary care practice in Carson, Calif.

Here, Melchor Lagunzad is just one of the many patients who live with diabetes. Dr. Emil Padre’s practice — where he and three staff members serve 1,500 patients — collaborated with staff at HealthCare Partners, their independent practice association (IPA) that is participating in the Practice Transformation Initiative, to ensure that patients like Melchor can easily access diabetes management classes and resources. While the collaboration between the health care organizations is important, what undergirds the effort is a commitment to centering patients and taking a holistic, team-based care approach to get patients what they need to improve their health and their lives.

Practice transformation is about improving and optimizing health care delivery following the quadruple aim:

  1. Lower healthcare costs,
  2. Increased quality of services,
  3. Improved patient experience, and
  4. Increased staff vitality and joy in practice.

The goal of practice transformation is to move health care delivery from volume-based health care services to patient-centered, high-quality services.

Our Practice Transformation Initiative is a four-year program to engage 4,800 clinicians contracted with provider organizations to improve measures of cost, quality, and patient experience. In partnership with Pacific Business Group on Health and its California Quality Collaborative and the Integrated Healthcare Association (IHA), we are one of 29 Practice Transformation Networks nationwide included in the Centers for Medicare & Medicaid Services’ Transforming Clinical Practice Initiative. The focus has been providing technical assistance and peer-level support to assist health care organizations to optimize workflows, develop and refine data-driven improvement approaches, and embrace culture change all in service of delivering patient-centric, efficient care.



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