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National Innovation Project: Transforming Clinical Practice Initiative


What is the Transforming Clinical Practice Initiative (TCPi)?

The Centers for Medicare and Medicaid Services (CMS) designed TCPi to help clinicians achieve large-scale transformation. TCPi will support more than 140,000 clinicians to establish a replicable, scalable model to enhance provider practices to achieve high-quality, evidence-based care at the right time
and place, increase patient and provider satisfaction and reduce health costs.

The Initiative was intended to strengthen the quality of patient care and spend healthcare dollars more wisely using the following criteria:

  • Promote preparation for broad payment reform
  • Support practice enhancement and quality improvement strategies in primary and specialty care
  • Enhance care coordination across care settings
  • Establish community-based health teams to support chronic care management
  • Improve quality and reduce cost through a collaborative of organizations supporting practice transformation

How is Our Integratcpi-homepage-photo-sizedted Network Involved?

Rady Children’s Hospital-San Diego and Children’s Hospital of Orange County (CHOC) were awarded a $17.7 million dollar grant from CMS to implement TCPi for pediatric populations in San Diego and Orange counties over a four-year period, commencing in October 2015.

Rady Children’s, along with CHOC, is considered a TCPi Practice Transformation Network (PTN). PTNs are peer-based learning networks designed to coach and support clinicians in transformation. With the assistance of designated Quality Improvement Advisors, this approach allows clinician practices to become actively engaged in transformation and collaborate to create, promote and sustain learning and changes across our community.

The overall goal is to achieve:

  • Better care
  • Improved health
  • Lower costs
  • Joy of practice

What Does This Mean for Your Provider Practice?

Your TCPi Team will work with your practice to conduct a needs assessment, identify opportunities for improvement, formulate an action plan, and provide ongoing support through our Quality Improvement Advisors, as well as measurement to demonstrate success.

We will also share evidenced-based Clinical Guidelines to enhance clinical outcomes for your patients. Six pediatric conditions have been identified by clinical leadership at Children’s Physicians Medical Group (CPMG), Children’s Primary Care Medical Group (CPCMG), Rady Children’s Hospital-San Diego, Rady Children’s Specialists of San Diego (RCSSD) and CHOC: Acne, Acute Gastroenteritis, Asthma, Bronchiolitis, Community-Acquired Pneumonia and Headaches. These were selected based on existing utilization, referral, and cost data to implement evidence-based clinical guidelines and redesign the way services are delivered.

TCPi participation will allow for:

  • Local and national recognition to highlight your practice.
  • Increase pay-for-performance scores aligned with your HEDIS metrics.
  • Opportunities to learn from your colleagues, as well as experts in quality improvement.
  • Improved patient and staff satisfaction.
  • Preparation for future payment models.