
Advancing primary health care for the public good

WHAT WE DO
We bridge the chasm between the business of medicine and the lived experience of the human condition.
We conduct research that invests all aspects of primary care with the fullness and dignity of humanity.
HOW WE DO IT
We understand that discovery starts with learning how to ask and learning how to ask begins with learning how to listen. What does this mean to us?
1
2
3
Keep asking the next question
The first question is rarely the right question – it is our starting point. We dig deeper.
4
Know that every sharing is motivated
There is no one standard – biomedical or otherwise. We provide texture, complexity, and nuance through detailed attention to context.
Make generosity of spirit foundational
Ours is a team sport. Discovery happens when bias is exposed, assumptions are identified, and minds remain open to different ways of seeing.
Start with the best solution first
Imagination held back by constraints prevents effective steps forward. We define the problem, develop the best solution, then adapt to fit real-time context.

Priority projects
PCPCM
The Person-Centered Primary Care Measure (PCPCM) is an 11-item patient-reported outcome measure that assesses primary care delivery and quality from the perspective of the person seeking care. The PCPCM resulted from a series of projects and work on the measure is ongoing.
Vitality Signs
The purpose of Vitality Signs, as funded by the Centers for Medicaid and Medicare Services, is to identify a simple and effective patient-reported instrument able to embody the need every person has for a respectful health narrative co-created between a person and those who care for them.
Coming soon…
Flash Survey
The Flash Survey, fielded several times a year, captures the pulse of primary care from frontline clinicians and practices.
Each survey:
Is informed by current issues in policy and practice environments,
Focuses on questions identified by those who participate,
Takes less than 5 minutes to complete. Results are shared publicly here.
The Desire Lines of Primary Care
Desire Lines captures primary care vision, mission, and professionalism as it naturally appears ‘in the wild’, drawing on data from the “Quick Covid-19 Primary Care Survey” of 2020-2024, including ~50,000 surveys from clinicians and patients.
These data feed two lines of inquiry:
Identify the norms and values that guided professionalism and practice during the pandemic
Conduct a gap analysis of primary care to determine in what ways we were unnecessarily vulnerable before and after the pandemic.