The state of health care in our nation demands our attention and best efforts. As an academic medical center with a vision for the healthiest population possible, we leveraged the Patient-centered Medical Home Model with a strong Primary Care leadership collaborative to elevate Primary Care to a position of enhanced value for our patients, our learners, our teams, and our systems. We now have what we asked for with the establishment of the Regional Primary Care Center as a strategic initiative in 2008 serving over 300,000 patients, 90 medical students, 23 practices, 200 providers and 800 staff. But where does one begin such a journey and where does it end for such a complex transformation? This plenary presentation from the 2011 Conference on Medical Student Education describes our Medical Home journey highlighting our metrics, our care model, and our proposal for financial alignment. It describes critical roles, tools, processes and policies and displays our results, focusing on both process outcomes and clinical outcomes. FMDRL_ID: 3191#2011 #Conferences #ConferenceonMedicalStudentEducation