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TCPi Overview and Resources

Transforming Clinical Practice Initiative (TCPi) was a free, nationwide initiative funded by The Centers for Medicare & Medicaid Services (CMS) that aimed to prepare clinicians to be successful in new value based compensation models.

TCPi came to an end September 28, 2019 and we would like to thank you for taking your time and energy to be a part of this work. We appreciate your work to improve the health care system and the quality and experience of care for the people of the State of Colorado. Your dedication to practice transformation and continuous improvement as part of your participation in TCPi demonstrates your leadership. Thank you for taking your time to be a part of this initiative, and we wish you the best in your continued transformation journey.

These resources were developed as part of the TCPi initiative and it is our hope that you can use them for your reference and adapt as needed to fit your needs and that of the practices you support.

This is just sample of the resources and tools used and created for the TCPi initiative. If you have any questions, please submit a support request to the Practice Innovation Program. 

Foundational Resources

Organize clinical practice around three management functions that will drive performance,
quality, and business success.

  1. Person and Family Centered Care Design
  2. Continuous, Data-Driven Quality Improvement
  3. Sustainable Business Operations

View PDF 

The purpose of the Transforming Clinical Practice Initiative (TCPI) Practice Assessment Tool 2.0 (PAT 2.0) is to determine the Transformation Phase in which practices are functioning at baseline and follow-up intervals over the life of the initiative. This determination is based on the extent to which practice exhibits attributes defined by a series of milestones aligned with the TCPI Change Package.

Each milestone is scored on degree of implementation based on interviews with practice staff, review of applicable documents and reports and direct observation of practice activity as well as professional judgement. Practices participating in TCPI are expected to progress through five distinct Transformation Phases. These phases capture the progress that the practice as a whole is making towards being prepared to thrive as a business in a value-based payment environment. The phases of transformation for the operations of a practice are defined as follows:

Phase 1 – Practice leadership sets aims and develops a plan and capabilities for starting the
transformation journey.
Phase 2 – The practice develops and initiates operational data and begins to use data.
Phase 3 – The practice further develops the infrastructure and begins to operationalize changes
needed to drive results.
Phase 4 – The practice ensures full and consistent operation of systems and processes at a level
of performance needed to achieve aims.
Phase 5 – The practice has sustainable operations built into budgets and financial plans.

View PDF
Excel Spreadsheet

The purpose of the Transforming Clinical Practice Initiative (TCPI) Practice Assessment Tool 2.0 (PAT 2.0) is to determine the Transformation Phase in which practices are functioning at baseline and follow-up intervals over the life of the initiative. This determination is based on the extent to which a practice exhibits attributes defined by a series of milestones aligned with the TCPI Change Package.

Each milestone is scored on degree of implementation based on interviews with practice staff, review of
applicable documents and reports and direct observation of practice activity as well as professional
judgement. Practices participating in TCPI are expected to progress through five distinct Transformation Phases. These phases capture the progress that the practice as a whole is making towards being prepared to thrive as a business in a value-based payment environment. The phases of transformation
for the operations of a practice are defined as follows:

Phase 1 – Practice leadership sets aims and develops a plan and capabilities for starting the
transformation journey.
Phase 2 – The practice develops and initiates operational data and begins to use data.
Phase 3 – The practice further develops the infrastructure and begins to operationalize changes
needed to drive results.
Phase 4 – The practice ensures full and consistent operation of systems and processes at a level
of performance needed to achieve aims.
Phase 5 – The practice has sustainable operations built into budgets and financial plans.

View PDF
Excel Spreadsheet 

The CO PTN hosted a Cost and Utilization Training in the Winter of 2018. Please see the webpage below to view materials provided before and during the training.

Cost and Utilization Training

All practices can benefit from the dialogue created to help them understand how the systems and processes they have put in place can bring value to payers, ACO’s, narrow networks, referral networks, and of course, patients and families. Please see the webpage below to view more details on how to develop a story for your practice.

Developing Practice Stories 

Medical Neighborhood - Parts 1, 2 & 3

TCPi Highlights

  • TCPi impacted 196 practices and 1,973 clinicians practicing in over 25 specialty types
  • Colorado PTN practices improved 100,374 lives during their participation in TCPi
  • This work amounted to avoidance of over 11,500 hospital visits, including 6,017 ER visits, and over 4,000 tests

*These resources were created as part of the CMS funded TCPi initiative that ran from September 2015 – September 2019. The information on this page and the associated documents have not been updated since the conclusion of the initiative.