Michael L. Parchman, MD, MPH, is Director of the MacColl Center for Healthcare Innovation within the Group Health Research Institute. Prior to joining GHRI and MacColl he was Director of the primary care Practice-Based Research Initiative and a Senior Advisor for Primary Care at the Agency for Healthcare Research and Quality (AHRQ) in Rockville, Maryland. The focus of his work over the past decade has been improving outcomes for patients with chronic illness in primary care settings. His areas of interest include dissemination and implementation research in primary care using complex adaptive systems theory, practice-based research network (PBRN) development and methodologies, and strategies for developing a sustainable infrastructure for on-going quality improvement in primary care. He has experience in primary care re-design and PCMH implementation in small primary care office settings using practice facilitation/coaching strategy.