Transforming Clinical Practice

Transforming Clinical Practice Initiative

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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 are increasingly being held to higher levels of accountability for the quality and efficiency of the care they provide.

The Transforming Clinical Practice Initiative (TCPI) assists clinicians in changing the way they deliver care. By participating in TCPI, practices will be able to receive the technical assistance and peer-level support they need to deliver care in a patient-centric and efficient manner, which is increasingly being demanded by healthcare payers and purchasers as part of a transformed care delivery system. Participating clinicians will be better positioned for success in the healthcare market of the future; one that rewards value and outcomes rather than volume.

To support TCPI, atom Alliance uses a CMS-determined assessment tool to conduct:

  • An initial baseline assessment of a sample of participating primary care and specialty care practices.
  • Follow-up assessments on a sample of participating primary care and specialty care practices that have already completed an initial baseline assessment.

We also collect, analyze, submit and share data obtained through these assessments with Practice Transformation Networks (PTNs), support contractors, clinicians and CMS to drive achievement of TCPI aims and goals. And we collaborate with PTNs in

  • Promoting learning and diffusion activities related to quality improvement, practice transformation and other relevant topic areas
  • Engaging practices and clinicians in advancement of the TCPI goals
  • Showcasing successful interventions
  • Supporting the participation of practices that are rural, small or reach medically underserved populations
Practice Transformation Network Locations
This map provides state and regional level Practice Transformation Network (PTN) information for clinicians looking to begin their transformation journey. Click on a state to find PTNs in your area and then click on a PTN name to link to contact and recruitment information about a specific PTN.
PTN_healthcarecommunities

Practice Eligibility
Your practice is not eligible to enroll in a PTN if you currently participate in any of the following: Medicare Shared Savings Program (MSSP), Pioneer Accountable Care Organizations (ACOs) including the Next Generation ACO model, the CMS Comprehensive Primary Care Initiative (CPCI), or the CMS Multi-Payer Advanced Primary Care Practice (MAPCP) ACOs. You may, however, join a PTN if you are part of a Medicaid or private payer ACO program.

Which initiatives are right for you?

Several atom Alliance initiatives compliment each other. See how other atom Alliance improvement initiatives align with this one. How many fit your practice’s needs?

Learn more about these initiatives: Cardiac Health, Diabetes, MU & HIT, VBP & PQRS, Immunizations, Behavioral Health

Transforming Clinical Practice News

  • atom Alliance Hosts Dennis Wagner- Director, Quality Improvement & Innovation Group (QIIG) at CMS

    atom Alliance Hosts Dennis Wagner- Director, Quality Improvement & Innovation Group (QIIG) at CMS

    atom Alliance and Qsource visited by CMS’s Dennis Wagner- Director, Quality Improvement & Innovation Group (QIIG)   We welcomed Dennis Wagner from the Centers for Medicare & Medicaid Services to our headquarters in Memphis, Tenn. recently. While in Memphis, Wagner met with patients who are taking an active role in controlling diabetes by participating in atom… Read More »
  • Quality Payment Program Explained

    Quality Payment Program Explained

    Quality Payment Program Explained Today (10/14/16), the Department of Health and Human Services (HHS) finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), collectively referred to as the Quality Payment Program. The new… Read More »
  • HHS finalizes streamlined Medicare payment system that rewards clinicians for quality patient care

    HHS finalizes streamlined Medicare payment system that rewards clinicians for quality patient care

    HHS finalizes streamlined Medicare payment system that rewards clinicians for quality patient care MACRA rule will accelerate health care system’s shift toward value Today, the Department of Health & Human Services (HHS) finalized a landmark new payment system for Medicare clinicians that will continue the Administration’s progress in reforming how the health care system pays for care. The… Read More »
Use the tabs to the right to search for specific tools and resources related to this page.

You can also search our comprehensive library of online resources, where you can sort by atom Alliance state, initiative, patient or provider focus or simply type in a keyword for quick access to the tools and resources you need.

MIPS Eligibility Tool
HealthFinder.gov – See which preventive services you or a loved one may need this year.
CMS Quality Payment Program
Kentucy REC
Choosing Wisely Campaign: http://www.choosingwisely.org/
Consumer Health Choices Patient Educational and Campaign materials for vaccines, imaging, diabetes, where to seek out care, etc. There are numerous resources on this site for physicians to choose from to educate patients.
http://consumerhealthchoices.org/campaigns/high-value-care/#materials
Practice Transformation Toolkit: https://www.healthit.gov/providers-professionals/implementation-resources/practice-transformation-toolkit
The APM Tool Kit
TCPI QIN-QIO Crosswalk
TCPI QIN-QIO Crosswalk

Preview: TCPI QIN-QIO Crosswalk
Download

303.73 KB | Last Updated: October 14, 2016

Practice Transformation Network (PTN) Contacts
Practice Transformation Network (PTN) Contacts

Preview: Practice Transformation Network (PTN) Contacts
Download

688.81 KB | Last Updated: March 2, 2016

A new Medicare Basics: Parts A and B Claims Overview Video is available. Learn about:
– What you need to know before filing a claim
– How to submit a claim
Train-the Trainer QPP Introduction and MIPS
Train-the-Trainer QPP Advanced APMs
MACRA, MIPS, and APMs – What to Expect from all these Acronyms! – Recorded Webinar
https://www.acponline.org/meetings-courses/courses-recordings/leadership-academy/macra-mips-apms
MACRA Overview provided by the American Academy of Physical Medicine and Rehabilitation 29 minutes
https://www.youtube.com/watch?v=mZDVVdcKvRo
Medicare Quality Programs Call: Audio Recording and Transcript
An audio recording and transcript are available for the call on How to Report Across 2016 Medicare Quality Programs. Learn how to report quality measures during the 2016 program year to maximize your participation in Medicare quality programs, including the Physician Quality Reporting System, Medicare Electronic Health Record Incentive Program, Value-Based Payment Modifier, and the Medicare Shared Savings Program.

Transforming Clinical Practice Blogs

  • QPP Updates July 2017

    QPP Updates July 2017

    QPP Updates July 2017 Upcoming Webinars Quality Payment Program (QPP) NPRM CY 2018 Webinar July 13, 2017 12:00pm – 1:00pm CT Quality Payment Program 101: An Overview July 19, 2017 12:00pm – 1:00pm CT Get to Know Your Registry CMS recently provided a  list of qualified registries eligible clinicians can use to report 2017 MIPS data. Clinicians… Read More »
  • atom Alliance Helping Transform Practices in Five States

    atom Alliance Helping Transform Practices in Five States

    atom Alliance Helping Transform Practices in Five States As part of the Transforming Clinical Practice Initiative (TCPI), atom Alliance is helping clinicians become better positioned for success in the new healthcare market that rewards value and outcomes rather than volume. Centers for Medicare & Medicaid Services (CMS) depends upon the atom Alliance Quality Innovation Network… Read More »
  • Quality of Care Review Changes – Updates from KEPRO

    Quality of Care Review Changes – Updates from KEPRO

    Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIOs) will no longer review a specific number of short-stay claims based on a hospital’s size of large vs. average. Now, CMS will sample the top 175 providers with a high or increasing number of Short Stay claims per Area with a request for 25 cases, and… Read More »

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