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.


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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
Initiative Links
Healthcare CommunitiesTransforming Clinical Practice Initiative
Centers for Medicare & Medicaid Services (CMS)CMS TCPI Awards Page
Iowa Healthcare CollaborativeCompass Practice Transformation Network
Partners and StakeholdersNational Rural Accountable Care (NRACC) PTN
TCPI Contacts
Kelly StephensProject ManagerKansaskelly.stephens@area-a.hcqis.org
Tammy McNeilRHIA, CPHIT, CPEHRQuality Improvement AdvisorNebraskatammy.mcneil@area-a.hcqis.org
Tracey RegimbalHealth Information Technology Quality Improvement SpecialistNorth Dakotatracey.regimbal@area-a.hcqis.org
Holly ArendsProgram ManagerSouth Dakotaholly.arends@area-a.hcqis.org

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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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