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	James L. Holly, M.D.

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Transforming Your Practice - Transforming Clinical Practices Initiative

Transforming Clinical Practices Initiative

The Transforming Clinical Practice Initiative is designed to help clinicians achieve large-scale health transformation. The initiative is designed to support more than 140,000 clinician practices over the next four years in sharing, adapting and further developing their comprehensive quality improvement strategies. The initiative is one part of a strategy advanced by the Affordable Care Act to strengthen the quality of patient care and spend health care dollars more wisely. It aligns with the criteria for innovative models set forth in the Affordable Care Act:

Promoting broad payment and practice reform in primary care and specialty care,
Promoting care coordination between providers of services and suppliers,
Establishing community-based health teams to support chronic care management, and
Promoting improved quality and reduced cost by developing a collaborative of institutions that support practice transformation.

Practice Transformation Networks

TCPI PTN mapped

Support and Alignment Networks

Background

Since the launch of the Affordable Care Act, CMS has launched numerous programs and models to help health providers achieve large-scale transformation. Programs and models, such as the Hospital Value-Based Purchasing Program, Accountable Care Organizations, and the Partnership for Patients initiative with Hospital Engagement Networks, are striving to help clinicians and hospitals move from volume-based towards patient-centered quality health care services. This has resulted in fewer unnecessary hospital readmissions, reductions in healthcare-associated infections and hospital-acquired conditions, and improvements in quality outcomes and cost efficiency.

To date, there has been no largeâ€“scale investment in a collaborative peer-based learning initiative designed as an investment that ensures that clinicians who participate will be part of leading and creating positive change for the entire health care system. CMS estimates that only about 185,000 of the nation’s clinicians currently participate in existing programs, models, and initiatives that facilitate practice transformation.

The Transforming Clinical Practice Initiative is one of the largest federal investments uniquely designed to support clinician practices through nationwide, collaborative, and peer-based learning networks that facilitate large-scale practice transformation.

Initiative Details

Practice Transformation Networks

The Practice Transformation Networks are peer-based learning networks designed to coach, mentor and assist clinicians in developing core competencies specific to practice transformation. This approach allows clinician practices to become actively engaged in the transformation and ensures collaboration among a broad community of practices that creates, promotes, and sustains learning and improvement across the health care system. The following organizations are the Practice Transformation Networks:

Arizona Health-e Connection
Baptist Health System, Inc.
Children's Hospital of Orange County
Colorado Department of Health Care Policy & Financing,
Community Care of North Carolina, Inc.
Community Health Center Association of Connecticut, Inc.
Consortium for Southeastern Hypertension Control
Health Partners Delmarva, LLC
Iowa Healthcare Collaborative
Local Initiative Health Authority of Los Angeles County
Maine Quality Counts
Mayo Clinic
National Council for Behavioral Health
National Rural Accountable Care Consortium
New Jersey Innovation Institute
New Jersey Medical & Health Associates dba CarePoint Health
New York eHealth Collaborative
New York University School of Medicine
Pacific Business Group on Health
PeaceHealth Ketchikan Medical Center
Rhode Island Quality Institute
The Trustees of Indiana University
VHA/UHC Alliance Newco, Inc.
University of Massachusetts Medical School
University of Washington
Vanderbilt University Medical Center
VHQC
VHS Valley Health Systems, LLC
Washington State Department of Health

Support and Alignment Networks

The Support and Alignment Networks will provide a system for workforce development utilizing national and regional professional associations and public-private partnerships that are currently working in practice transformation efforts. Utilizing existing and emerging tools (e.g., continuing medical education, maintenance of certification, core competency development) these networks will help ensure sustainability of these efforts. These will especially support the recruitment of clinician practices serving small, rural and medically underserved communities and play an active role in the alignment of new learning. The following organizations are the Support and Alignment Networks:

American College of Emergency Physicians
American College of Physicians, Inc.
HCD International, Inc.
Patient Centered Primary Care Foundation
The American Board of Family Medicine, Inc.
Network for Regional Healthcare Improvement
American College of Radiology
American Psychiatric Association
American Medical Association
National Nursing Centers Consortium

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