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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Training Events

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Documents & Resources

External Resources
CMS Presentation Quality Initiative/Patient Assessment/Value Based Payment MACRA
CMS TCPI Awards Page
Compass Practice Transformation Network
National Rural Accountable Care (NRACC) PTN
Transforming Clinical Practice Initiative

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Meet The Experts

Holly Arends

Holly Arends, CMQP

Program Manager
South Dakota
Email Holly

Tammy McNeil


Quality Improvement Advisor
1-402-476-1399 Ext. 504
Email Tammy

Great Plains Quality Care Coalition

Our Vision: Through collaboration and partnership, we aspire to make healthcare in the Dakotas the best in the nation. We have partnered with committed nursing homes, community leaders and healthcare organizations to improve the care in our communities. Better together.