Michael Parris, Clinical Performance TRIaD Process Director, Jean Donie, Clinical Performance TRIaD Clinical Director, Banner Health, and Erica Drazen, ScD, Senior Advisor, Scottsdale Institute. Michael and Jeannie describe how the design of Banner Medical Group Patient Centered-Medical Homes leverages the work within Banner acute care facilities to reduce hospital readmissions. They share overall approach to reducing readmissions from the physician office perspective, as well as considerations and lessons learned.