Transforming Clinical Practice Initiative
TMF Quality Innovation Network Collaborates With Other QIN-QIOs on Transforming Clinical Practice Initiative
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The Transforming Clinical Practice Initiative (TCPI) is designed to help clinicians achieve large-scale health transformation. With more than 140,000 clinician practices involved in sharing, adapting and further developing their comprehensive quality improvement strategies, the initiative aims to strengthen the quality of patient care and spend health care dollars more wisely. 

Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs) like the TMF Quality Innovation Network—the QIN-QIO for Arkansas, Missouri, Oklahoma, Puerto Rico and Texas—are collaborating with TCPI in several areas, including working with 700  of the 140,000 participating clinician practices in analyzing their data, assessing where they are in the transformation process, and providing coaching and connections. Under the Centers for Medicare & Medicaid Services’ (CMS) Quality Payment Program, this collaboration increased in 2017 as all organizations providing technical assistance began sharing one consistent message with clinicians. 

In early 2017, Vizient Practice Transformation Network (PTN)—one of the peer-based learning networks designed to coach, mentor and assist clinicians in developing core competencies— referred a practice within St. Luke’s Health System to the TMF QIN. Through conversations with Vizient and St. Luke’s leadership, as well as initial contact with the practices, the QIN-QIO realized that the work would span into Kansas, beyond its region of Missouri.

To conduct all the necessary assessments, the TMF QIN partnered with Great Plains Quality Innovation Network, the QIN-QIO for Kansas, North Dakota, Nebraska and South Dakota. Together, they coordinated a strategy to have the assessments scheduled and completed with the practice managers of the health system at the same time. Some of the practice managers supervise practices in both states, so it was important that they not have to speak with two organizations to complete the assessments.

Overall, about a dozen of the TMF QIN’s nearly 75 total assessments overlapped with the Great Plains QIN’s region. The TMF QIN instituted the same process in late 2017 to complete six-month follow-up assessments in coordination with the Great Plains QIN. This partnership led to an increase in the number of assessments toward both QIN-QIOs’ goals, as well as movement toward their shared goal of strengthening collaboration within a broad community of practices that creates, promotes and sustains learning and improvement across the health care system. 

Another benefit of the TMF QIN’s partnering strategy is that it has been put to use by additional QIN-QIOs. When Vizient informed the TMF QIN that the Quality Insights Quality Innovation Network—the QIN-QIO for Delaware, Louisiana, New Jersey, Pennsylvania and West Virginia—was facing the same predicament in having to conduct work outside its designated region, the TMF QIN arranged a call with its fellow QIN-QIO to share how it orchestrated its plan of action.