In this issue of the journal, we continue to focus on many cutting edge issues pertaining to health reform and changes occurring today in ambulatory care practice.

The article by Professor James highlights the potential of Health Assessments to inform primary care medical practice. Dr Downey and Colleagues extend the concept of health assessment and focuses on emergency room clinicians dealing with mental health emergencies. Health insurance exchanges are nothing short of critical to health reform, and Dr Nagykaldi highlights aspects of the connection between Health Insurance Exchanges and primary care physician practices.

In 2 separate articles, Rosenthal and Proser examine research undertaken in community health centers. Health services research in these institutions, such as community health centers, that are at the forefront of the Accountable Care Act will help determine the success or failure of this milestone legislation.

We are always interested in international perspective and Rubinstein examines ambulatory care sensitive conditions in Argentina. While every country is obviously different, methodologies that cut across countries can help us with our own situation at home.

Dr Cherniak continues our theme of shared medical appointments and focuses on elderly individuals. Similarly, Alan Wilson continues our interest in innovations in architecture as applied to ambulatory care. Dr Boland provides us with a book review.

-Norbert I. Goldfield, MD

Editor