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When Practice Transformation Impedes Practice Improvement | Annals of Family Medicine

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I lead a small practice in rural western North Carolina. We have embraced the patient-centered medical home model and other practice-improvement initiatives, and I have seen our practice transformed in many positive ways. But in the past year alone, my staff and I have spent hundreds of hours studying for and taking exams, certifying for numerous programs, and updating our electronic health records system (EHR) to meet new national requirements and then relearning our EHR. Seeing patients used to be the hardest part of my job. It is now the easiest by far. I am considering walking away from the time-intensive PCMH certification even though it would cause financial hardship. We have more important business at hand—taking excellent care of patients, improving our practice, and meaningfully engaging with our patients. Seeing patients used to be the hardest part of my job. It is now the easiest by a long shot. It is the time when I really feel most alive. I remember Michael Jordan once sai

When Practice Transformation Impedes Practice Improvement | Annals of Family Medicine Skip to main content Discussion Reflections When Practice Transformation Impedes Practice Improvement Edward Bujold The Annals of Family Medicine May 2015, 13 (3) 273-275; DOI: https://doi.org/10.1370/afm.1789 Edward Bujold Private Practice, Caldwell County, North Carolina MD, FAAFP Find this author on Google Scholar Find this author on PubMed Search for this author on this site For correspondence: bujold{at}embarqmail.com Article eLetters Info & Metrics PDF Abstract I lead a small practice in rural western N

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