Care Delivery

Primary care is a core component of the U.S. health care system and the largest platform of formal health care in the United States. More people seek primary care services than any other type of health care service. A strong primary care foundation is necessary to improve the quality of care, improve the health of people and populations, and reduce the costs of health care. AHRQ supports improvements in care delivery through the development and dissemination of evidence-based tools and resources designed specifically to address challenges and opportunities in primary care settings.

Resources and tools in this section fall into six categories.


  • Guidelines and Measures (GAM), was set up by AHRQ to provide users a place to find information about its legacy guidelines and measures clearinghouses, National Guideline ClearinghouseTM (NGC) and National Quality Measures ClearinghouseTM (NQMC). This information was previously available on and, respectively.
  • Electronic Prevention Services Selector (ePSS). The ePSS is a free application that clinicians can use to search and browse U.S. Preventive Services Task Force (USPSTF) recommendations on the Web, on a PDA or on a mobile device. The ePSS brings information on clinical preventive services—recommendations, clinical considerations, and selected practice tools—to the point of care.

Practice Facilitation

  • Primary Care Practice Facilitation CurriculumThis curriculum is designed to assist in the training of new practice facilitators (also known as practice coaches, quality improvement coaches, or practice enhancement assistants) as they begin to develop the knowledge and skills needed to support meaningful improvement in primary care practices. Practice facilitation is an evidence-based approach to quality improvement in primary care practices.
  • A How-To Guide on Developing and Running a Practice Facilitation Program (PDF, 3MB). This guide is for organizations interested in starting a practice facilitation program designed to with primary care practices on quality improvement activities, with an emphasis on primary care redesign and transformation. It is intended for organizations or individuals who will develop, design, and administer such programs.

Health IT and Workflow

Health Literacy

  • The AHRQ Health Literacy Universal Precautions Toolkit – 2nd edition. This toolkit and companion implementation guide help adult and pediatric practices reduce the complexity of health care, increase patient understanding of health information, and enhance support for patients of all health literacy levels. Also available is a crosswalk showing how implementing health literacy tools can help meet standards for patient-centered medical home certification or recognition.
  • Patient Education Materials Assessment Tool (PEMAT) is a systematic method to evaluate and compare the understandability and actionability of print and audiovisual patient education materials.

Quality Improvement

Patient Experience and Satisfaction

Page last reviewed July 2018
Page originally created April 2017
Internet Citation: Care Delivery. Content last reviewed July 2018. Agency for Healthcare Research and Quality, Rockville, MD.
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