Jewish Renaissance Medical Center, a Federally Qualified Health Center, will shift from individualized, utilization-driven performance to one of working in a well-defined, team-based workflow focused on care management and measuring performance based on clearly determined patient outcomes, while pursuing Level 3 Patient Centered Medical Home certification. Key redesign factors will focus on: (1) best practices in care management; (2) improving usage of the Electronic Health Record system, particularly with respect to patient identification and management, planning, tracking and coordinating care; and performance measurement and improvement; (3) best practices in open access scheduling, in particular, adopting the “Advanced Access” model; and (4) best practices and regulatory factors in utilizing a patient portal in implementing electronic communication as key mechanism in care management.