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Project Information

Project Information

Implementing High-Quality Primary Care

Project Scope:

An ad hoc committee, under the auspices of the National Academy of Sciences, Engineering, and Medicine, will examine the current state of primary care in the United States and develop an implementation plan to build upon the recommendations from the 1996 IOM report, "Primary Care: America's Health in a New Era", to strengthen primary care services in the United States, especially for underserved populations, and to inform primary care systems around the world. The implementation plan will consider:

  • Barriers to and enablers of innovation and change to achieve high-quality, high-value primary care;
  • The expanding scope of comprehensive primary care integration to address the needs of individuals, families, and communities;
  • The role of primary care in achieving population health outcomes and health equity goals;
  • The role of team-based interprofessional practice and the range of primary care providers, including those with oral health, lifestyle, and integrative medicine expertise;
  • The evolving role of technological and other innovations in delivering patient-centered primary care;
  • Education and training needs for the changing workforce in primary care;
  • The evolution and sustainability of care delivery and payment models across different communities and care settings;
  • Efficient approaches to meaningful measurement and continuous improvement of care quality;
  • Changing demographics and the primary care needs and access of different patient populations, including rural and other underserved populations;
  • Identifying and addressing behavioral and social determinants of health and delivering community-oriented, whole person care; and
  • The infrastructure (workforce, data, and metrics) needed to evaluate effectiveness of innovation and its impact on health outcomes and to support data-informed decision-making.


To develop the implementation plan, the committee will consider successes and limitations of prior efforts to innovate in primary care, as well as the increasing demands and stresses on the primary care system, and will recommend ways to effectively scale and implement successful innovations and programs in US health care settings.

Status: Current

PIN: HMD-HCS-18-15

Project Duration (months): 18 month(s)

RSO: Meisnere, Marc


Board on Health Care Services


Health and Medicine

Geographic Focus:

Committee Membership

Committee Post Date: 12/16/2019

Linda A. McCauley - (Co-Chair)
Linda McCauley, RN, Ph.D, FAAN, FAAOHN, began her tenure as Dean of the Nell Hodgson Woodruff School of Nursing at Emory University in May 2009. Dr. McCauley is a national leader in the area of research on environmental exposures and conducts interdisciplinary research using participatory research models to study pesticide exposures among minority communities. Her work aims to identify culturally appropriate interventions to decrease the impact of environmental and occupational health hazards in vulnerable populations, including workers and young children. Dr. McCauley has been awarded research funding from the National Institutes of Health, the Centers for Disease Control and Prevention, the Department of Defense, and the Department of Veterans' Affairs. Her research has resulted in more than 80 publications, ongoing consultations, leadership on occupational and environmental advisory panels, and testimony to governmental oversight bodies. Dr. McCauley is a fellow of the American Academy of Occupational Health Nurses and the Academy of Nursing, and participated as a Fellow of Harvard University Kennedy School of Government's Women and Power in the New World. She is a member of the American College of Occupational and Environmental Medicine, the Sigma Theta Tau Honorary Nursing Society, the American Nurses Association, the American Public Health Association and the National Academy of Medicine. She has served on many National Academies study committees and membership committees.
Robert L. Phillips, Jr. - (Co-Chair)
Robert L. Phillips, Jr., M.D., MSPH, is the founding Executive Director of the Center for Professionalism and Value in Health Care. Prior to that, from 2012 to 2018, he was Vice President for Research and Policy where he led the launch of a national primary care clinical registry and a Measures that Matter research and development program for primary care. He is a graduate of the Missouri University of Science and Technology (1990) and the University of Florida College of Medicine (1995) where he graduated with honors for special distinction. He completed training in family medicine at the University of Missouri in 1998, followed by a two-year fellowship in health services research and public health (MSPH, 2000). After fellowship, Dr. Phillips became assistant director of the Robert Graham Center, Washington DC, and from 2004-2012, he served as its Director. Dr. Phillips currently practices part-time in a community-based residency program in Fairfax, VA, and is Professor of Family Medicine at Georgetown University and Virginia Commonwealth University. He served on the American Medical Association’s Council on Medical Education and as president of the National Residency Matching Program. A nationally recognized leader on primary care policy and health care reform, Dr. Phillips was elected to the National Academy of Medicine in 2010. He currently serves the NAM on the Membership Committee (Section 08 Chair) and the Action Collaborative on Clinician Well-Being and Resilience: Research, Data, and Metrics (Member). He previously served as NAM Membership Committee Section 08 Vice Chair and as a member of three consensus studies: Committee on Depression, Parenting Practices, and the Health Development of Young Children; Committee on Integrating Primary Care and Public Health; and, Committee on Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing. He has also served as a reviewer for several studies and is a frequent participant in NAM/NASEM Workshops and Round Tables. Dr. Phillips was also a member of the NAM Vital Directions writing committee in 2016.
Asaf Bitton
Asaf Bitton, M.D., M.P.H., is the executive director of Ariadne Labs, a health systems innovation center at Brigham and Women's Hospital and the Harvard T.H. Chan School of Public Health. He is a national and global expert on primary care policy, financing, and delivery. He previously served as director of Ariadne Labs' Primary Health Care Program, leading primary care measurement and improvement work in over a dozen countries along with regional medical home learning collaboratives in Massachusetts. He is a core founder and leader of the Primary Health Care Performance Initiative, a partnership that includes the World Bank, the World Health Organization, and Bill & Melinda Gates Foundation dedicated to transforming the global state of primary health care. Currently, this partnership is scaling the launch and use of country-level dashboards on primary care performance across 15 countries, with a goal of 60 countries by 2022. He serves as a senior advisor for primary care policy at the Center for Medicare and Medicaid Innovation. In this role since 2012, he has helped design and test three major comprehensive primary care payment and delivery initiatives, now active in 26 states, with over 70 payers and 3,000 practices that serve more than three million Medicare beneficiaries and 15 million total patients. These initiatives represent the largest tests of combined primary care payment and clinical practice transformation work in the United States. He is a practicing primary care physician at a medical home practice in Jamaica Plain, MA, that he helped to found in 2011. He served on, and spoke at, a National Academies of Sciences, Engineering and Medicine planning meeting on the future of primary care in July 2018.
Tumaini R. Coker
Tumaini Rucker Coker, M.D., M.B.A., is Associate Professor of Pediatrics at the University of Washington School of Medicine, Director of Research at Seattle Children's Center for Diversity & Health Equity, and Principal Investigator at the Seattle Children's Research Institute Center for Child Health, Behavior, and Development. Dr. Coker’s research focuses on community-engaged design and evaluation of innovative interventions to reduce socioeconomic disparities of care among children, and on primary care practice redesign for children in low-income communities. She is Principal Investigator for two large, multi-year projects that focus on developing, adapting, and testing interventions to improve the delivery of care to children in low-income communities; these include an NIH-funded multi-site trial of a parent coach-led model for preventive care, and an NIH-funded trial of a parent text messaging program to enhance parent-provider communication about chronic disease management. As Principal Investigator, she recently completed a PCORI-funded project using telehealth to improve access to mental health services for children in low-income communities. Dr. Coker’s work has been published widely, in journals such as JAMA, Pediatrics, and the American Journal of Public Health, and has been covered by media outlets, including the Wall Street Journal, CNN, USA Today, and NBC. Dr. Coker was commissioned to complete technical reviews for two National Academies Reports: Parenting Matters: Supporting Parents of Children Ages 0-8, and Adolescent Health Services: Missing Opportunities. She also served as a panelist for the public session for the National Academies Report entitled Intersecting Professions in the Birth through Age 8 Continuum.

Carrie Colla
Carrie Colla, Ph.D., is an Associate Professor of The Dartmouth Institute for Health Policy and Clinical Practice at The Geisel School of Medicine. A health economist, Dr. Colla focuses on physician payment, health insurance markets, and insurance benefit design. Her work is aimed at improving the quality, accessibility, and cost of health care. Colla’s investigator-initiated research is dedicated to examining health system performance and the effectiveness of payment and delivery system reforms, including accountable care organizations. Her empirical studies include the effects of changes in Medicare reimbursement for physicians and institutional providers on vulnerable patient populations; the prevalence and drivers of low-value health care services; and the effects of care management and coordination in physician practices, among others. Colla has been principal investigator for the annual National Survey of Accountable Care Organizations since its inception in 2012, and she is a lead investigator in Dartmouth’s Agency for Healthcare Research and Quality Center of Excellence to Study High-Performing Health Care Systems. She teaches health policy and economics at Dartmouth College. Dr. Colla participated in the National Academy of Medicine Robert Wood Johnson Foundation Health Policy Fellowship, spending time as a Congressional Fellow and working as a Senior Advisor at the Centers for Medicare and Medicaid Innovation.
Molly Cooke
Molly Cooke, M.D., MACP, FRCP is professor of medicine at the University of California, San Francisco where she is a practicing general internist and teaches primary care internal medicine. Her medical practice focuses on the care of patients with HIV and other chronic illnesses. Dr. Cooke's academic focus is health professions education with a particular emphasis on educational initiatives addressing patient outcomes and cost of care in complex, chronically ill patients. Her papers have been published in the New England Journal of Medicine, the Annals of Internal Medicine, Academic Medicine, JAMA and Science. She is an author of Educating Physicians: A Call for Reform of Medical School and Residency (2010), winner of the PROSE award for distinction in scholarly publication in 2011. In additional to her own experience as a primary care physician, Dr. Cooke has considered primary care from national and international perspectives. Beginning in 2004 she served in a number of leadership roles in the American College of Physicians. ACP is the professional association for internal medicine physicians in the US, comprising 154,000 members; Dr. Cooke was President of ACP 2013-2014. She has a broad understanding of health care in the US and the perspective of generalist clinicians, including non-physician health professionals, in rural and underserved areas. Internationally, she has worked and/or consulted in Uganda, India, China and Cuba and visited many other countries, including the UK, Mexico, Canada, Japan, New Zealand, and the UAE, to learn about their health care systems and health professions workforce.
Jennifer E. DeVoe
Jennifer E. DeVoe, M.D., DPhil is a practicing family physician, health services researcher, and national primary care leader based in Portland, Oregon. As the John & Sherrie Saultz Professor and Chair of the Oregon Health & Science University (OHSU) Department of Family Medicine, she oversees nearly 200 faculty, 72 resident physicians, and several of OHSU’s primary care clinics. DeVoe also serves as the inaugural director of OHSU’s new Center for Primary Care Research and Innovation. Dr. DeVoe served as the first Chief Research Officer and Executive Director of the OCHIN practice-based research network from 2010-2016 where she led the development of a unique community laboratory, linking together electronic health record (EHR) data from over 400 community health center clinics across multiple states to build the most robust safety net research database in the country. She is the past President of the North American Primary Care Research Group, the premiere international professional organization for primary care researchers. Dr. DeVoe studies access to health insurance coverage and health care services, disparities in care, and how policy and practice changes affect the health of children and families. She and her team pioneered the use of EHR data in research, studying health care utilization by uninsured and underinsured populations, which has garnered her national attention, particularly relating to the Children’s Health Insurance Program and the Affordable Care Act. She served as an ABFM/Puffer Anniversary Fellow at the National Academy of Medicine (NAM) from 2012-2014 and was elected to the NAM in 2014. She is the inaugural chair of the NAM’s primary care interest group (2017-2019).

Rebecca S. Etz
Rebecca S. Etz, Ph.D., is an Associate Professor of Family Medicine and Population Health at Virginia Commonwealth University, and Co-Director of the Larry A. Green Center - Advancing Primary Health Care for the Public Good. Dr. Etz has deep expertise in qualitative research methods and design, primary care measures, practice transformation, and engaging stakeholders. Dr. Etz received her PhD in Cultural Anthropology from Rutgers University, 2004. Since then, her career has been dedicated to learning the heart and soul of primary care. Her work has resulted in iterative research cycles that expose and reflect on the tacit norms and principles of primary care in which clinicians, thought leaders, and patients are equally invested. Dr. Etz is dedicated to three main lines of inquiry: 1) bridging the gap between the business of medicine and the lived experience of the human condition, 2) making visible the principles and mechanisms upon which the unique strength of primary care is based, and 3) exposing the unintended, often damaging consequences of policy and transformation efforts applied to primary care but not informed by primary care concepts. As a member of the VCU Department of Family Medicine and Population Health, and previous co-director of the ACORN PBRN, Dr. Etz has been the Principal Investigator of several federal and foundation grants, contracts and pilots, all directed towards making the pursuit of health a humane experience. She often serves on expert panels and as Board members for national primary care organizations. Recent research activities have included studies in primary care measures, behavioral health, care coordination, preventive care delivery, simulation modeling, care team models, organizational change, community based participatory research, the study of exemplars, and adaptive use of health technologies. Dr. Etz has presented to National Academies study committees, written an NAM discussion paper, and participated in planning meetings.
Jackson Griggs
Jackson Griggs, M.D., FAAFP, is the Chief Executive Officer of Heart of Texas Community Health Center, a fifteen-site federally-qualified health center serving 60,000 patients in Central Texas. Dr. Griggs is a family physician who has practiced medicine for fifteen years, focusing on families living in poverty. Before executive leadership, he trained over 150 resident physicians while on faculty of the Waco Family Medicine Residency Program. His research has included topics in primary care, population health and mental illness. Dr. Griggs serves as President the McLennan County Medical Education and Research Foundation, which operates a family medicine residency program, sports medicine fellowship and clinical informatics fellowship.
Shawna Hudson
Shawna Hudson, Ph.D, is a Professor and Research Division Chief in the Department of Family Medicine and Community Health and founding director of the Center Advancing Research and Evaluation for Patient-Centered Care (CARE-PC) at the Rutgers Robert Wood Johnson Medical School. She is a medical sociologist and has a joint faculty appointment in the Rutgers School of Public Health in the Department of Health Behavior, Society and Policy. Dr. Hudson holds research memberships in the Rutgers Institute for Translational Medicine and Science, the Rutgers Cancer Institute of New Jersey and the Institute for Health, Healthcare Policy and Aging Research. She serves as Director for the Community Engagement Core of the NJ Alliance for Clinical and Translational Science (NJ ACTS) which is a Clinical and Translational Science Award (CTSA) consortium between Rutgers University, Princeton University and the New Jersey Institute of Technology. Dr. Hudson is a community engaged, primary care researcher working with vulnerable populations at the intersections of community health, primary care and specialty care. She is a mixed methods researcher and has published extensively using both qualitative and quantitative research approaches. She is a nationally recognized leader in research that examines the role of primary care in long-term follow-up care for cancer survivors.
Shreya Kangovi
Shreya Kangovi, M.D., is the founding Executive Director of the Penn Center for Community Health Workers, and an Associate Professor at the University of Pennsylvania Perelman School of Medicine. She is a leading expert on improving population health through evidence-based community health worker programs. Her research also highlights the perspectives of socially disadvantaged patients, who are often left out of healthcare design. Dr. Kangovi led the team that designed IMPaCT. IMPaCT is a standardized, scalable program that leverages community health workers --trusted laypeople from local communities-- to improve health. IMPaCT has been tested in three randomized controlled trials and improves chronic disease control, mental health and quality of care while reducing total hospital days by 65%. IMPaCT has a $2:1 annual return on investment to payers and has been delivered to over 10,000 high-risk patients in the Philadelphia region. In the last three years, IMPaCT has become the most widely disseminated community health worker program in the United States; it is being replicated by organizations across 18 different states including Veterans Health Administration, state Medicaid programs; integrated healthcare organizations and even retailers such as Walmart. Dr. Kangovi founded the Penn Center for Community Health Workers, a national center of excellence dedicated to advancing health in low-income populations through effective community health worker programs. Dr. Kangovi has authored numerous scientific publications and received over $25M in funding, including federal grants from the NIH and PCORI. She is the recipient of the 2019 Robert Wood Johnson Foundation Health Equity Award, an elected member of the American College of Physicians and a member of the National Academies of Sciences, Engineering, and Medicine’s Roundtable on the Promotion of Health Equity.
Christopher F. Koller
Christopher F. Koller, M.A., is president of the Milbank Memorial Fund, an 114-year operating foundation that improves population health by connecting leaders with the best information and experience. Before joining the Fund, he served the State of Rhode Island as the country's first health insurance commissioner, an appointment he held between 2005 and 2013. Under Mr. Keller's leadership, the Rhode Island Office of the Health Insurance Commissioner was nationally recognized for its rate review process and its efforts to use insurance regulation to promote payment reform, primary care revitalization, and delivery system transformation. The office was also one of the lead agencies in implementing the Affordable Care Act in Rhode Island. Prior to serving as health insurance commissioner, Mr. Koller was the CEO of Neighborhood Health Plan of Rhode Island for nine years. In this role, he was the founding chair of the Association of Community Affiliated Plans. Mr. Koller has a bachelor's degree (summa cum laude) from Dartmouth College and master's degrees in social ethics and public/private management from Yale University. He was a member of the National Academies of Sciences, Engineering, and Medicine's Board on Health Care Services from 2014 to 2019 and served on NASEM Committees on Essential Health Benefits and Integrating Social Needs Care, and in numerous national and state health policy advisory capacities. Mr. Koller is also adjunct professor of community health in the School of Public Health at Brown University.
Alex H. Krist
Alex H. Krist, M.D., M.P.H., is a professor of family medicine and population health at Virginia Commonwealth University and an active clinician and teacher at the Fairfax Family Practice Residency. He is also codirector of the Virginia Ambulatory Care Outcomes Research Network and director of community-engaged research at the Center for Clinical and Translational Research. Dr. Krist’s areas of interest include implementation of preventive recommendations, patient-centered care, shared decision making, cancer screening, and health information technology. He is the primary author of numerous peer-reviewed publications and has presented to a wide range of audiences at national and international conferences. Dr. Krist was elected to the National Academy of Medicine in 2018.
Luci Leykum
Luci Leykum, M.D., M.B.A., MSC, is a Professor of Medicine and Associate Chair for Clinical Innovation at Dell Medical School at the University of Texas at Austin. She is also a health services researcher in the South Texas Veterans Health Care System and is the Principal Investigator/ Center Lead for the Elizabeth Dole Center of Excellence for Veteran and Caregiver Research She completed residency training in Internal Medicine at the Columbia-Presbyterian Medical Center, joining the Columbia faculty in 2002. In 2004, she accepted a clinician-investigator position at the University of Texas Health Science Center at San Antonio and the South Texas Veterans Health Care System, and earned a Master of Science in Clinical Investigation from UT in 2007. In 2019, she became Associate Chair for Clinical Innovation in the Department of Medicine at Dell Medical School. Dr. Leykum's research has focused on the application of the lens of complexity science to clinical systems. She has served as a Co-Investigator in studies of learning in primary care teams, and has led and contributed to clinical systems improvement and change publications on a variety of care settings. Her most recent studies use a complexity science framework to understand how relationships and sense making differ between physician teams, and how these differences relate to patient outcomes.
Benjamin Olmedo
Benjamin Olmedo MMSc, PA-C, is Chief Clinical Consultant for Physician Assistants at the Indian Health Service. Following his distinguished Army service, Mr. Olmedo earned his PA-Cat Yale School of Medicine Physician Associate Program after which he commissioned in the U. S. Public Health Service where he worked in rural Alaska for three years with the Indian Health Service. While in Alaska, Ben furthered his experience by serving on the Board of Directors for the Mat-Su Healthcare Foundation and was honored through Save the Children's The REAL Award in 2014 for community outreach, improving patient outcomes and increasing utilization of clinic services. Ben served as President of the Public Health Service Academy of Physician Assistants from 2015 - 2016, serves on the Admission Committee for the Yale School of Medicine PA program and worked in California with a rural tribal health clinic from 2015 - 2019 where he served as the emergency preparedness coordinator, served on the California Tribal Epidemiology Center advisory council and Chaired the Clinical Education Committee in addition to providing same day access to healthcare services.
Brenda Reiss-Brennan
Brenda Reiss-Brennan, Ph.D., APRN, is the Director of Mental Health Integration at lntermountain Health. She is a medical anthropologist and psychiatric nurse practitioner working in primary care for over 40 years. As a principal investigator she leads lntermountain Healthcare's (IH) adoption, diffusion and evaluation of clinical integration for mental health and primary care. The cost and quality evidence of the Mental Health Integration (MHI) innovation has transformed primary care culture and has spread rapidly over 90 IH medical clinics and 45 non-lH community clinics throughout the United States. MHI provides team based culture for the advancement of IH medical health homes which supports the shared accountability driven by US health reform. Dr. Reiss-Brennan holds a longstanding faculty appointment at the University of Utah, College of Nursing. She serves as a local, national and international consultant for cultural innovation, implementation and spread of MHI cost and quality research to improve population health.

Hector P. Rodriguez
Hector P. Rodriguez, Ph.D., M.P.H., is Henry J. Kaiser Endowed Chair in Organized Health Systems, Professor of Health Policy and Management, and co-Director of the Center for Healthcare Organizational and Innovation Research (CHOIR) at the University of California, Berkeley. He is an expert in organizational analysis and performance management in health care organizations and public health systems. Prior to his academic career, he was a management consultant for The Permanente Medical Group where he worked with leaders and clinicians in Northern California to implement primary care practice redesign and evaluate their impact on patient care. He has over 100 peer-reviewed publications, including key articles focused on measuring and improving patients’ experiences of care and patient-reported outcomes, primary care teamwork, implementation fidelity, and multilevel organizational analyses. Dr. Rodriguez is an elected member of the National Academy of Medicine and a recipient of the John D. Thompson Investigator Award from the Association of University Programs in Health Administration.
Mary Roth McClurg
Mary Roth McClurg, Pharm.D., MHS, is Professor and Executive Vice Dean-Chief Academic Officer at the UNC Eshelman School of Pharmacy. From 1995-2008, Roth McClurg practiced as a clinical pharmacist in both inpatient medicine and primary care practice within the VA Health System and in primary care within the Department of Geriatrics at the University of North Carolina Health System, providing direct patient care as part of a collaborative team. Roth McClurg has focused her research efforts on advancing the role of the clinical pharmacist in primary care, with the goal of optimizing medication use and improving care in patients with multiple chronic diseases. She has focused her research on improving the quality of medication use for patients and is currently serving as principal investigator on a $2.4 million grant from the American College of Clinical Pharmacy (ACCP) to enhance patient care and primary care medical practice through comprehensive medication management. Roth McClurg has played an integral leadership role in the design and implementation of UNC’s transformative new Pharm.D. curriculum to better position students to meet the health care needs of society. The school’s new Pharm.D. program was implemented in the fall of 2015. She is a fellow of the American College of Clinical Pharmacy.
Marc Meisnere - (Staff Officer)
Marc Meisnere, MHS, is a Program Officer on the National Academies of Sciences, Engineering, and Medicine’s Board on Health Care Services. Since 2010, Mr. Meisnere has worked on a variety National Academies’ consensus studies and other activities that focused on mental health services for service members and veterans, suicide prevention, primary care, and clinician well-being. Before joining the National Academies, Mr. Meisnere worked on a family planning media project in northern Nigeria with the Johns Hopkins Center for Communication Programs and on a variety of international health policy issues at the Population Reference Bureau. He is a graduate of Colorado College and the Johns Hopkins University Bloomberg School of Public Health.



National Academy of Sciences Building
2101 Constitution Ave NW, Washington, DC 20418
Event Type :  

Description :   

The National Academies of Sciences, Engineering, and Medicine Committee on Implementing High-Quality Primary Care will be holding a public session on January 22, 2020 from 1PM-5:30PM ET, in Washington, DC.

This committee will examine the current state of primary care in the United States and develop an implementation plan to build upon the recommendations from the 1996 IOM report, "Primary Care: America's Health in a New Era", to strengthen primary care services in the United States, especially for underserved populations, and to inform primary care systems around the world. To develop the implementation plan, the committee will consider successes and limitations of prior efforts to innovate in primary care, as well as the increasing demands and stresses on the primary care system, and will recommend ways to effectively scale and implement successful innovations and programs in U.S. health care settings.

Through the course of the study, the committee will meet several times. The public session is one of the many processes that the committee will use to gather information and assemble evidence that members will examine and discuss in the course of making the committee’s findings, conclusions, and recommendations. The focus of this public session is for the committee to clarify the scope of the charge with the study sponsor and initiate the process of gathering relevant information related to the study.

This public session will be accessible to the public via webcast and in-person attendance (seating is limited). Please register online to receive an email with the instructions on how to join this public session.


If you would like to attend the sessions of this event that are open to the public or need more information please contact

Contact Name:  Samira Abbas
Contact Email:
Contact Phone:  (202) 334-3202


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