Building Infrastructure to Promote Primary Care Transformation: Lessons from a Four-State Learning Community

As part of the Agency for Healthcare Research and Quality (AHRQ)’s Infrastructure for Maintaining Primary Care Transformation initiative, NASHP worked with four states (Idaho, Maryland, Montana, and West Virginia) that sought to adapt aspects of North Carolina’s nationally recognized model of primary care practice transformation. This report summarizes the value of primary care transformation for the states, describes the North Carolina model, and outlines states’ successes, challenges and lessons learned.

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