Our Approach

Improving Chronic Illness Care is proud to have helped thousands of practices transform their care to better serve patients with chronic illness. While the ICIC program officially ended in 2011, the MacColl Center for Health Care Innovation continues to build on the ideas initiated during that time. 

For a number of years we have been developing resources to help primary care practices transform into Patient-Centered Medical Homes (PCMHs) 

The Primary Care Team Guide is a free online learning tool that supports practices to deliver true team-based care—a critical component of PCMHs. We developed its contents based upon the exemplary work of 31 high-performing US primary care practices that are successfully implementing a team-based approach. 

Primary care practices of all stages of development will find it useful: Over 250 resources, including job descriptions, flow sheets, and videos provide practices with new approaches and tools to help prepare for and deliver team-based care. 

Come to the Team Guide for a brief assessment, specific action steps for improving a range of common activities in primary care, and our latest thinking on how to best achieve the quadruple aim