Transforming Clinical Practice Initiative (TCPI)

Large Scale Health Transformation

Transforming Clinical Practice Initiative (TCPI)

The U.S. healthcare system is rapidly moving from a volume-driven, primarily fee-for-service model to multiple integrated care models that incorporate a variety of innovative payment structures. Clinicians who will be affected by evolving CMS payment reforms, such as the Physician Value-Based Payment Modifier (VM) and other programs, are increasingly being held to higher levels of accountability for the quality and efficiency of the care they provide. An increase in accountability from these programs demands that clinicians transform the way they deliver care.

The Great Plains Quality Innovation Network is collaborating with clinicians in our region through the Transforming Clinical Practice Initiative (TCPI) model to achieve large-scale health transformation. Initiative goals include:

  • Promoting payment and practice reform in primary/specialty care
  • Fostering care coordination between providers
  • Establishing community-based health teams to support chronic care management
  • Promoting improved quality and reduced costs through a collaborative of peer-based learning networks.
Our work will be in tandem with activities of Practice Transformation Networks (PTNs) to carry out the technical assistance necessary for program implementation. TCPI educational needs of participants will be identified and offered through an integrated approach of the PTNs and the Great Plains QIN.


Find out how transforming clinical practice plays an integral role in preparing to be successful in the Quality Payment Program, visit the Quality Payment Program page to learn more.

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Initiative Documents
CMS Presentation on TCPI Goals and OverviewPresentationCMS TCPI Overview and Goals PresentationCMS
CMS Presentation Value Based Payment MACRA and Related Topics<i Presentation/ResourceCMS Presentation Quality Initiative/Patient Assessment/Value Based Payment MACRA CMS
Driver diagram model, describes the changes needed to transform clinical practice and meet TCPI goals.<i ToolTCPI Change Package Transforming Clinical Practice Driver Diagram
Change concepts archived by phases<i ToolPractice Assessment Tool Requirements by Phase
Initiative Links
Partners and StakeholdersNational Rural Accountable Care (NRACC) PTN
Healthcare CommunitiesTransforming Clinical Practice Initiative
Centers for Medicare & Medicaid Services (CMS)CMS TCPI Awards Page
Iowa Healthcare CollaborativeCompass Practice Transformation Network
TCPI Contacts
Tisha CarlsonQuality Improvement
Tammy McNeilRHIA, CPHIT, CPEHRQuality Improvement
Tracey RegimbalHealth Information Technology Quality Improvement SpecialistNorth
Holly ArendsProgram ManagerSouth

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Learning and Action Network

We invite you to join the Great Plains Learning and Action Network (LAN). All LAN partners will be invited to attend educational sessions on a variety of topics, have opportunities to learn from peers throughout the state and region and have access to an abundance of resources and tools. The LAN is a great opportunity to get connected and demonstrate your commitment to quality improvement.

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