In 2006, Medical Care Development (MCD) successfully obtained grant funding over two years to establish the Maine Practice Improvement Network (MPIN). At that time, MCD partnered with five large regional Physician Hospital Organizations, the Maine Medical Association, the Maine Primary Care Association, and multiple physician practices throughout the state, to form the Maine Practice Improvement Network. The goal was to create a structure and a process for the members of the MPIN to share effort, cost, resources, and learning related to office practice redesign, improvement knowledge, and implementation of the Planned Care Model, leading ultimately to improved patient outcomes.