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foreign for medicine are tremendous we are faced with a growing population the baby boomer generation just docHubed at the age of 65 health problems among patients are becoming greater and more complex and weamp;#39;re being faced with dwindling resources and actually fewer primary care physicians af4q stands for aligning forces for quality and is the grant that our community received from the Robert Wood Johnson foundation and one of the things that we were charged with and wanted to do was to improve the quality of care that we have in our practices when we looked at that challenge before as we thought in order to do this weamp;#39;re going to have to be able to bring practices together so that they can learn from one another share best practices and we can also help meet them where theyamp;#39;re at and give them the tools that they need to change so we developed the plan care collaborative which was an effort to bring several practices together over a year-long period couple them