The Primary Care Team: Learning from Effective Ambulatory Practices (PCT-LEAP)

“Improving the quality of primary care is a key objective of health care reform. Central to the improvement of primary care is the development of effective primary care teams.  We are delighted that the LEAP project will allow us to study some of the nation’s finest primary care practices and spread their staffing innovations to others.” -- Ed Wagner


In 2012, the Robert Wood Johnson Foundation launched The Primary Care Team: Learning from Effective Ambulatory Practices (the LEAP Project, or PCT-LEAP) with the aim of making primary care more accessible and effective by identifying practices that maximize the services of the primary care workforce.  LEAP  is directed by MacColl Center Director Emeritus Ed Wagner and Margaret Flinter, PhD, APRN, senior vice president and clinical director of the Community Health Center, Inc., a statewide Federally Qualified Health Center in Connecticut.

PCT-LEAP has selected 30 primary care practices across the country to visit and learn from, to identify practice innovations that make primary care more efficient, effective, and satisfying to patients and providers. The practices have shared their innovative uses of staff both during site visits and in a learning community with their fellow exemplars. Site visits have been completed as of October 2013.

In autumn 2013, 19 outstanding individuals have been selected for participation in the year-long PCT-LEAP Emerging Leaders program.  The Leaders were nominated from exemplary primary care practices across the US  and represent a diversity of clinical roles including physicians, nurses, medical assistants, and quality improvement profressionals.  Participants were selected based on their demonstrated commitment to quality and enthusiastic recommendations from their colleagues.

Emerging Leaders
Emerging Leaders will receive leadership development training; participate in learning sessions with national experts in primary care; work in small teams to apply what they’re learning; and connect to innovators at the Institute for Health Care Improvement’s 15th Annual International Summit on Improving Patient Care in the Office Practice and Community in March 2014.

PCT-LEAP Site Visits
What happened when members of the PCT-LEAP team travelled to primary care practices around the country?  Read recent impressions from RWJF Senior Program Officer Maryjoan Ladden's trip to Cambridge, Massachusetts

Preliminary Observations from the LEAP Team
This article describes some of new roles played by members of primary care teams observed by the authors in observations from 25 site visits to high-performing primary care practices across the United States in 2012-2013.
Read The Emerging Primary Care Workforce: Preliminary Observations From the Primary Care Team: Learning From Effective Ambulatory Practices Project.


      Print a list of PCT-LEAP sites