Primary Care Practice Transformation

Screenshot of team-based care article with people rowing a boat.


Kong M MD, Bodenheimer T MD, Willard-Grace R MPH. Making a Business Case for Team-Based Care. Fam Pract Manag. 2023 Jul;30(4):31-37. PMID: 37432162.

Casalino LP, Jung HY, Bodenheimer T, Diaz I, Chen MA, Willard-Grace R, Zhang M, Johnson P, Qian Y, O'Donnell EM, Unruh MA. The Association of Teamlets and Teams with Physician Burnout and Patient Outcomes. J Gen Intern Med. 2023 May;38(6):1384-1392. doi: 10.1007/s11606-022-07894-7. Epub 2022 Nov 28. PMID: 36441365; PMCID: PMC10160282.

Bodenheimer TS, Willard-Grace R. Care Management For Patients With Type 2 Diabetes: The Roles Of Nurses, Pharmacists, And Social Workers. Health Aff (Millwood). 2022 Jul;41(7):947-954. doi: 10.1377/hlthaff.2022.00227. Epub 2022 Jun 27. PMID: 35759701.Dai M, Willard-Grace R, Knox M, Larson SA, Magill MK, Grumbach K, Peterson LE. Team Configurations, Efficiency, and Family Physician Burnout. J Am Board Fam Med. 2020 May-Jun;33(3):368-377. doi: 10.3122/jabfm.2020.03.190336. PMID: 32430368.

Dai M, Willard-Grace R, Knox M, Larson SA, Magill MK, Grumbach K, Peterson LE. Team Configurations, Efficiency, and Family Physician Burnout. J Am Board Fam Med. 2020 May-Jun;33(3):368-377. doi: 10.3122/jabfm.2020.03.190336. PMID: 32430368.

Bodenheimer T, Knox M, Kong M. Models of Faculty Involvement in Primary Care Residency Teaching Clinics. Acad Med. 2020 Feb;95(2):190-193. doi: 10.1097/ACM.0000000000002970. PMID: 31464735.

Grumbach K, Knox M, Huang B, Hammer H, Kivlahan C, Willard-Grace R. A Longitudinal Study of Trends in Burnout During Primary Care Transformation. Ann Fam Med. 2019 Aug 12;17(Suppl 1):S9-S16. doi: 10.1370/afm.2406. PMID: 31405871; PMCID: PMC6827663.

De Marchis EH, Doekhie K, Willard-Grace R, Olayiwola JN. The Impact of the Patient-Centered Medical Home on Health Care Disparities: Exploring Stakeholder Perspectives on Current Standards and Future Directions. Popul Health Manag. 2019 Apr;22(2):99-107. doi: 10.1089/pop.2018.0055. Epub 2018 Jun 19. PMID: 29920148; PMCID: PMC6459267.

Bodenheimer T, Dickinson WP, Kong M. Quality Improvement Models in Residency Programs. J Grad Med Educ. 2019 Feb;11(1):15-17. doi: 10.4300/JGME-D-18-00556.1. PMID: 30805091; PMCID: PMC6375330.

Howard J, Miller WL, Willard-Grace R, Burger ES, Kelleher KJ, Nutting PA, Hahn KA, Crabtree BF. Creating and Sustaining Care Teams in Primary Care: Perspectives From Innovative Patient-Centered Medical Homes. Qual Manag Health Care. 2018 Jul/Sep;27(3):123-129. doi: 10.1097/QMH.0000000000000176. PMID: 29944623.

Gupta R, Barnes K, Bodenheimer T. Clinic First: 6 Actions to Transform Ambulatory Residency Training. J Grad Med Educ. 2016;8(4): 500-503.

Grumbach K. Patient Empanelment in Primary Care - The Importance of Knowing Which Patients Are at Home at Your Medical Home. Health Services Advisory Group Webinar. July 18, 2016.

Willard-Grace R, Sharma AE, Parker C, Potter MB. Engaging Patients as Partners in Practice Improvement: A Survey of Community Health Centers. J Clin Outcomes Manage. 2016;23(7):311-319.

Olayiwola JN. Achieving the Quadruple Aim in Primary Care: Challenges and Opportunities. California State Office of Rural Health Webinar. June 23, 2016.

Rodriguez HP, Knox M, Hurley V, Rittenhouse DR, Shortell SM. The Use of Enhanced Appointment Access Strategies by Medical Practices. Med Care. Epub 2016 Mar 11.

Gupta R, Dubé K, Bodenheimer T. The Road to Excellence for Primary Care Resident Teaching Clinics. Acad Med. 2016;91:00–00. First published online doi: 10.1097/ACM.0000000000001100.

Olayiwola JN, Rubin A, Slomoff T, Woldeyesus T, Willard-Grace R. Strategies for Primary Care Stakeholders to Improve Electronic Health Records (EHRs). J Am Board Fam Med. 2016;29:126-134; doi:10.3122/jabfm.2016.01.150212.

Ghorob A, Bodenheimer T. Building teams in primary care: A practical guide. Fam Syst Health. 2015;33(3):182-92.

Dubé K. Re: The Use of Medical Scribes in Health Care Settings: A Systematic Review and Future Directions. J Am Board Fam Med. 2015;28(5): 684-685.

Olayiwola JN. Bringing Sexy Back: A Recipe for Sexiness Needed to Revitalize Primary Care in the U.S. San Francisco Medicine. 2015;88(5):21-23.

Willard-Grace R, Dubé K, Hessler D, O'Brien B, Earnest G, Gupta R, Shunk R, Grumbach K. Panel Management, Team Culture, and Worklife Experience. Fam Syst Health. 2015;33(3):231-41.

Rogers EA, Hessler D, Dube K, Willard-Grace R, Gupta R, Bodenheimer T, Grumbach K. The Panel Management Questionnaire: A Tool to Measure Panel Management Capability. Perm J. 2015 Mar 1. doi: 10.7812/TPP/14-170.

Grumbach K, Olayiwola JN. Patient Empanelment: The Importance of Understanding Who Is at Home in the Medical Home. J Am Board Fam Med. 2015;28(2):170-172.

Bodenheimer T, Sinsky C. From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider. Ann Fam Med. 2014;12(6):573-576.

Bauer LM. Primary Care Transformation Pre-Payment Reform: Is it possible? Ann Fam Med. August 12, 2014. Accessed December 18, 2023.

Olayiwola JN. The Missing Metric: The Experience of the Care Team in PCMH Transformation. Ann Fam Med. July 25, 2014.

Bodenheimer T, Willard-Grace R, Ghorob A. Expanding the roles of medical assistants: Who does what in primary care? JAMA Intern Med. 2014;174(7):1025-1026.

Bodenheimer T, Ghorob A, Willard-Grace R, Grumbach K. The 10 Building Blocks of High-Performing Primary Care. Ann Fam Med. 2014;12(2):166-171.

Bodenheimer T, Smith MD. Primary care: proposed solutions to the physician shortage without training more physicians. Health Aff. 2013;32:1881-1886.

Bodenheimer T. The Building Blocks of High-Performing Primary Care: Webinar. The MacColl Center PCT-LEAP Project. November 12, 2013.

Ghorob A, Bodenheimer T. Three Building Blocks for Improving Access to Care. Fam Pract Manag. 2013;20(5):12-7.

Willard R, Bodenheimer T. The Building Blocks of High-Performing Primary Care: Lessons from the Field. California HealthCare Foundation. April 2012.

Ghorob A, Bodenheimer T. Sharing the care to improve access to primary care. N. Engl. J. Med. 2012;366:1955-1957.

Altschuler J, Margolius D, Bodenheimer T, Grumbach K. Estimating a reasonable patient panel size for primary care physicians with team-based task delegation. Ann Fam Med. 2012;10:396-400.

Grumbach K, Bainbridge E, Bodenheimer T. Facilitating Improvement in Primary Care: the Promise of Practice Coaching. Commonwealth Fund. 2012.

Bodenheimer T. Lessons from the trenches – a high-performing primary care clinic. N. Engl. J. Med. 2011;365:3-5.

Moskowitz D, Bodenheimer T. Moving from evidence-based medicine to evidence-based heath. J Gen Intern Med. 2011;26(6):658-660.

Margolius D, Bodenheimer T. Transforming primary care: From past practice to the practice of the future. Health Aff. 2010;29(5):779-784.

Matin M, Bodenheimer T, Grumbach K. Splitting the Sustainable Growth Rate (SGR): a Proposal to Strengthen Medicare and Primary Care. Health Affairs Blog. February 14, 2008.

Schmittdiel JA, Shortell SM, Rundall TG, Bodenheimer T, Selby JV. Effect of primary health care orientation on chronic care management. Ann Fam Med. 2006;4(2):117-23.

Saba GW, Wong ST, Schillinger D, Fernandez A, Somkin CP, Wilson CC, Grumbach K. Shared decision making and the experience of partnership in primary care. Ann Fam Med. 2006;4(1):54-62.

Rittenhouse DR, Robinson JC. Improving quality in Medicaid: the use of care management processes for chronic illness and preventive care. Med Care. 2006;44(1):47-54.

Rittenhouse DR, Grumbach K, O'Neil EH, Dower C, Bindman A. Physician organization and care management in California: from cottage to Kaiser. Health Aff (Millwood). 2004;23(6):51-62.

Building the Ambulatory Practice of the Future - An initiative to explore and create a future of healthcare and life balance. Massachusetts General Physicians Organization and Massachusetts General Hospital. November 2005.

Schillinger D, Piette J, Grumbach K, Wang F, Wilson C, Daher C, Leong-Grotz K, Castro C, Bindman AB. Closing the loop: physician communication with diabetic patients who have low health literacy. Arch Intern Med. 2003;163(1):83-90.

Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002;288(14):1775-9.

Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA. 2002;288(15):1909-14.

Grumbach K, Bodenheimer T. A primary care home for Americans: putting the house in order. JAMA. 2002;288(7):889-93.