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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 allowed 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 kicked off The Primary Care Team: Learning from Effective Ambulatory Practices (the LEAP Project, or PCT-LEAP) project, with the aim of making primary care more accessible and effective by identifying practices that maximize the services of the primary care workforce.  LEAP was 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 selected 31 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 were completed in October 2013, and the "Primary Care Team Guide" was launched in December 2014.  The LEAP project ended in July 2017.

  • 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
  • Emerging Leaders
    Nineteen outstanding individuals were 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 represented 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.
  • Preliminary Observations from the LEAP Team
    This December 2013 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. Read The Emerging Primary Care Workforce: Preliminary Observations From the Primary Care Team: Learning From Effective Ambulatory Practices Project.
  • Team Guide
    Practical advice, case studies, and tools from the 31 LEAP exemplary primary care practices across the country.  Launched in December 2014, publicly available and free of cost, the Team Guide is appropriate for practices at any stage of development, and includes modules that enable practices to easily pinpoint relevant topics and areas of interest.


      Print a list of PCT-LEAP sites