The 10 building blocks of high-performing primary care

Ann Fam Med. 2014 Mar-Apr;12(2):166-71. doi: 10.1370/afm.1616.


Our experiences studying exemplar primary care practices, and our work assisting other practices to become more patient centered, led to a formulation of the essential elements of primary care, which we call the 10 building blocks of high-performing primary care. The building blocks include 4 foundational elements-engaged leadership, data-driven improvement, empanelment, and team-based care-that assist the implementation of the other 6 building blocks-patient-team partnership, population management, continuity of care, prompt access to care, comprehensiveness and care coordination, and a template of the future. The building blocks, which represent a synthesis of the innovative thinking that is transforming primary care in the United States, are both a description of existing high-performing practices and a model for improvement.

Keywords: medical; physician’s practice patterns; practice management; primary health care.

MeSH terms

  • Continuity of Patient Care
  • Electronic Health Records
  • Forecasting
  • Health Care Reform
  • Health Services Accessibility
  • Humans
  • Leadership
  • Models, Organizational*
  • Organizational Objectives
  • Patient Care Team / organization & administration
  • Primary Health Care / organization & administration*
  • Quality Improvement*
  • United States