Michael Parchman is Senior Investigator at the MacColl Center, which he joined in 2012. His research focuses largely on improving chronic illness care in primary care clinics by approaching them as complex adaptive systems. Dr. Parchman has extensive health services research experience with a focus on advancing the field of implementation science with practice facilitation and coaching, and implementation of the patient-centered medical home. A family medicine physician, Dr. Parchman previously served the Agency for Healthcare Research and Quality as the director of Practice-Based Research Network Initiative and senior advisor for primary care. Before joining AHRQ in 2010, he was the Mario Ramirez Endowed Professor of family and community medicine at the University of Texas Health Science Center at San Antonio. He is currently Principal Investigator for Healthy Hearts Northwest, an AHRQ-funded study of scale-up and spread methods to accelerate improvements in heart health risk factors across 200+ small primary care practices in Washington, Oregon and Idaho. He is also leading an implementation study of team-based approaches to safer opioid use for chronic pain in rural health centers in Eastern Washington and Central Idaho. He has a joint appointment at the Department of Family Medicine and the Department of Health Services Research at the University of Washington and is a collaborator in their Institute of Translational Health Science.