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
Feb 12 @ 12:00 pm – 1:00 pm
Register Now Improving the Patient Experience Learning and Action Network Series Healthcare is personal. Any individual in need of healthcare services becomes vulnerable. The level of comfort and confidence relayed by healthcare professionals at every[...]
Mar 21 @ 12:00 pm – 1:00 pm
Due to technical difficulties the video of this training event is unavailable.  You can listen to the audio and download the presentation below.   Presentation/Slides Handout NETO 3-21-18 Transcript The Nebraska Emergency Treatment Orders[...]
Oct 13 @ 12:00 pm – 1:00 pm
The Triple Aim of healthcare improvement historically has not addressed the providers critical role in transforming healthcare. Therefore, there is a new call to emphasize the original three goals plus adding the goal of improving[...]
Jan 5 @ 12:00 pm – 1:00 pm
Hosted by Lynn Barr from the National Rural ACO. Webinar: Rural Practice Transformation: Getting Ready for Value-Based Payments_Hosted by Lynn Barr from National Rural ACO on Vimeo.Share this:Tweet


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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

Tisha Carlson

Tisha Carlson, AA

Quality Improvement Consultant 
Email Tisha

Tracey Regimbal

Tracey Regimbal, RHIT

Health Information Technology Quality Improvement Specialist
North Dakota
Email Tracey

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.