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Relationships between people are the bedrock of primary care. Are there ways to preserve this foundation while still improving our performance in the logistics of care delivery? What can we learn from Amazon in this process - without sacrificing who we are and our core values?

One of the main work streams in primary care is the distribution of defined elements of care to large populations based on risk. If an organization has a patient population of one million and has multiple bundles of preventative intervention to deliver depending on patient profiles and sub populations, are there ways to do this more efficiently that meets the needs of our patients at price they can afford?

What would it be like to practice in an organization where we had the back up of a logistical delivery system at scale, that would allow us to spend more time with people - developing relationships, solving clincical problems, guiding people in their choices and along their journey?

Just some thoughts to consider in this conversation. Solving the equation of preserving the relationships that define primary while mastering the logistics of delivery at scale is one of the great challenges we face.