The Robert Wood Johnson Medical School Department of Family Medicine’s ambulatory care center, Family Medicine at Monument Square located in New Brunswick, will expand the capacity of its office to provide care management services to a greater number of high-risk patients. This is an advanced practice that is involved in several quality improvement initiatives, including the use of a population care coordinator to manage high-risk patients and patients with gaps in care. Through the use of systems engineering workflow analyses, the practice will redesign the roles and responsibilities of all of its office members, with the goal of improving the quality of care, care efficiency, and staff satisfaction by enabling each team member to practice at the top of his or her license. Individual responsibilities will be reassigned based on the findings of the workflow analyses. Outcomes include improved office efficiency (measured by workflow analysis), improved staff satisfaction (measured by staff satisfaction survey), and improved health care quality measures (measured using care measures already collected by the office).