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Experience of Family Physicians in Practice Transformation Networks

Hansen, Elizabeth Rose BS; Eden, Aimee R. PhD, MPH; Peterson, Lars E. MD, PhD; Bishop, Elizabeth M. PhD, MS; Phillips, Robert L. Jr MD, MSPH

The Journal of Ambulatory Care Management: April/June 2019 - Volume 42 - Issue 2 - p 92–104
doi: 10.1097/JAC.0000000000000269
Original Articles

To help health care practices transition away from fee-for-service reimbursement and toward value-based payment, the Transforming Clinical Practice Initiative was launched in October 2015. It was designed to provide clinicians support through peer-based Practice Transformation Networks (PTNs). A group of American Board of Family Medicine board-certified family physicians enrolled in PTNs described their expectations of and experiences with PTN participation; we analyzed open-text comments. Physicians expected and experienced PTN support in informatics and data, team building, and workflow and care coordination; however, expectations regarding patient care and engagement, costs and payment reform, and population and panel health were described less frequently.

Department of Research & Policy, American Board of Family Medicine, Lexington, Kentucky (Ms Hansen and Drs Eden, Peterson, and Bishop); Department of Family and Community Medicine, University of Kentucky, Lexington (Dr Peterson); and Center for Professionalism and Value in Health Care, Washington, District of Columbia (Dr Phillips).

Correspondence: Aimee R. Eden, PhD, MPH, American Board of Family Medicine, 1648 McGrathiana Pkwy, Ste 550, Lexington, KY 40511 (

The project described was supported by Funding Opportunity Number CMS-1L1-15-002 from the US Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services.

The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

All authors are employees of the American Board of Family Medicine.

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