Details of developing and implementing an intensive interdisciplinary care program for high need, high cost patients.

1. Developing and implementing an intensive interdisciplinary medical home within a large academic medical center was feasible. 2.

Redesigning primary care in an academic medical center: lessons, challenges, and opportunities.

Purpose: To evaluate patient access, provider productivity, and patient satisfaction during a 24-month redesign process of an academic medical center, which requires balance between clinical and educational missions.

Methods: A series of activities were conducted to optimize primary care across 17 attending physicians, 6 Advanced Practice Providers (APPs), and 39 residents. Patient access was defined as the next available appointment for either existing/established patients or new patients.