A forum for those seeking to transform health care in the US by improving the delivery of care in (medical) office practices. We seek to deliver superb care in a vital and sustainable manner, to shepherd patients across the fragmented system, and to test ideas that lead to fundamental improvement

Those interested in marginal improvement, and not interested in transformational change should seek another forum.

"This list serve is an amazing group of forward-thinking [mostly] primary care providers who are willing to challenge the status-quo and think outside the box. Instead of placing blame, we are working on real solutions and measuring the impact of our attempts." Megan Lewis MD