Facilitating Practice Transformation in Frontline Health Care

This supplement to the Annals of Family Medicine brings together early learning from multiple examples of health extension and practice transformation support, with the goal of informing future efforts to improve our health care system. As this supplement is published, 2 major federal investments testing health extension, a model of practice facilitation, to achieve practice transformation will be ending. One is the $112 million, multiregion EvidenceNOW: Advancing Heart Health in Primary Care initiative of the Agency for Healthcare Research and Quality (AHRQ), a multistate research effort to test the health extension model.1,2 The other is the nearly $700 million Transforming Clinical Practice Initiative (TCPI) of the Centers for Medicare & Medicaid Services (CMS), a practice facilitation demonstration project touching all 50 states that aimed to support 140,000 clinicians.3 The response to the call for papers for this supplement garnered 50 submissions. Although we are not able to publish all of them, work not published here will also contribute to what has been learned from these large federal investments.