The Comprehensive Primary Care Initiative (CPCI), launched by the Center for Medicare and Medicaid Innovation, is a 4-year project to improve patient services, promote disease prevention, and improve patient satisfaction by improving access and services within the primary care office. The Robert Wood Johnson Medical School Department of Family Medicine and Community Health’s clinical site, Family Medicine at Monument Square, was chosen to participate in this initiative due to prior designation as a patient-centered medical home (level 3) in 2012. The CPCI lays out specific milestones that practices must fulfill in order to implement the initiative; one such milestone is to “engage patients and family to guide improvement in the system of care.” We have assessed and compared the impact of initiatives designed to improve patient care through two principal mechanisms: quantitative feedback gathered from patient surveys and qualitative feedback gathered from the practice’s patient advisory council. Along with Dr Cathryn Heath, faculty family physician at Robert Wood Johnson Medical School, I worked to establish the patient council during the summer between my first and second years of medical school. We asked the physicians at the practice to submit names of patients they thought would be eager to participate in the council; from these names, we selected a panel of individuals representative of the practice as a whole. We reached out to these individuals, and they agreed to serve on the practice's patient council. The council has met quarterly for the past 3 years and continues to meet and offer feedback on the state of the practice. These initiatives include streamlining the answering service, advertising the practice’s on-call service, expanding walk-in hours, and hosting health education workshops at the practice. After the first year of the council's existence, we administered a survey to assess if patients at the practice were aware of any of the additional services available to them (calling service, walk-in hours, extended opening hours). We had administered a similar survey before the first meeting of the council, and we were investigating whether or not the recommendations of the council on increasing patient awareness of the practice's services had exerted a demonstrable effect. Unfortunately, our administration of the survey showed little improvement in patient awareness (except in one area).