The University of Michigan Department of Family Medicine is motivated to provide the ideal PCMH experience. The department has five clinical sites in the greater Ann Arbor area and will be adding a sixth clinical site in September, 2014.   Residents provide care at two sites - Chelsea Health Center and Ypsilanti Health Center.  These health centers offer patients both evening and weekend hours. Ypsilanti Health Center offers a modified open access schedule.  The care model includes on-site clinical pharmacists, social workers, and dieticians. Nurses are trained in case management and self-management support. Each site has a panel manager to assist in population management and patient outreach and LEAN training and techniques are utilized to address quality improvement in both processes of care as well as outcomes.  Ongoing projects include piloting of medical scribes, implementation of patient advisory councils, and incorporation of health coaches to care teams.

Incorporation of PCMH principles into the residency curriculum starts with didactic lectures in the first month of internship.  Residents are encouraged to fully utilize all members of the care team at their clinical sites.  Population management is taught in more detail in the Family Medicine Centered Experience rotation, in which residents work with their panel manager to identify, plan, and complete a formal quality improvement project for MOC-IV credit.   Medical students at the University of Michigan are required to complete a four-week rotation in Family Medicine, during which they are introduced to and demonstrate PCMH principles through didactics and direct patient care.