Module 5
Making Transformation Stick
The honest economics of transformation under fee-for-service, leading change without burning out the team, and what makes advanced primary care durable.
By the end of this module, you will be able to:
- Explain why fee-for-service economics make primary care transformation financially fragile
- Lead practice change while managing the real risk of clinician burnout
- Identify what sustains advanced primary care after the initial investment
- The Economics of Transformation Transformation costs money before it earns any, and fee-for-service punishes much of it. This lesson covers the financial reality honestly. About 5 min
- Leading Change in a Practice Transformation is a change-management problem as much as a clinical one. This lesson covers leading it without burning out the team. About 4 min
- Sustaining Advanced Primary Care The capstone: what makes transformation durable rather than a project that fades, and why primary care remains the center of the whole enterprise. About 4 min
Module quiz
Answer all questions to see your score.
1. Why does fee-for-service work against primary care transformation?
A practice can transform, improve care, and lose money under fee-for-service, which is the trap value-based payment exists to escape.
2. What is the most common reason transformation efforts fail?
Successful transformation removes or redistributes work as it adds it; purely additive change produces resistance and burnout.
3. What most reliably makes transformation durable?
Change that depends on temporary funding or a single champion reverts; structural support is what makes it last.