From 2012 to 2020, our Practice Transformation team worked to help medical offices embrace a team approach to care and use data to improve health outcomes and reduce costs. Over its lifetime, the program coached more than 1,000 providers and brought in $32 million for clinical innovation in our region. The practice transformation staff was a cross-functional team that included nurses, practice managers, social workers, process improvement specialists, project managers and administrators.

The team mentored care managers, coached practice champions and trained data collectors through one-on-one consulting and group learning collaboratives. As their expertise grew, New York tapped the program to provide technical assistance to others across the state. Staff created a web-based resource library, moved their learning collaboratives online, brought in national subject matter experts and presented at national meetings. All the while, their local consulting continued. In the last years of the program, the team worked hand-in-hand with 140 practices to help them earn New York Patient Centered Medical Home recognition.


Practice Transformation aims to help our health care system become as good at preventing illness as we are at responding to emergencies. To see what that can mean for our region, check out our data on potentially preventable hospitalizations in our Insights Library.