Find a Practice Transformation Network (PTN)

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The AAFP is here to help you apply for any of the practice transformation networks in your area.

Transforming Clinical Practice Initiative (TCPi) PTNs By State

Select your region in the list below to access contact information for practice transformation networks recruiting family physicians near you.

 Region
 Region: #1 Western
 Region: #2 Midwest
 Region: #3 Mid-Atlantic
 Region: #4 Northeast
 Region: #5 Southeast

Apply for a TCPi PTN Now

The AAFP is here to help you apply for any of the practice transformation networks in your area.

National Practice Transformation Networks

National Rural ACC

The network aims to engage more than 5,500 rural clinicians and provide them with tools necessary to transition into successful accountable care organization structures. Leveraging the technical systems, recruitment methodology, and quality improvement programs currently in place, the network will assess, prepare, educate, and provide on­site, peer-supported education, and training to participating clinicians.

Western Region

Includes: Alaska, Arizona, Arkansas, California, Colorado, Idaho, Louisiana, Montana, Oklahoma, Oregon, Texas, Washington, and Wyoming.

Alaska

PeaceHealth

The network aims to engage nearly 600 employed clinicians through the implementation of team-based care models within practices. These teams will work in tandem to integrate clinical findings, health metrics data, and chronic disease registry outcomes in a shared effort to identify high risk populations, validate success of interventions, and determine opportunities for further intervention. Through the network, the teams will improve management of care transitions to ensure proper clinical follow-up and remove barriers to appropriate care. The goals behind this evolution are to improve clinical outcomes, improve overall individual and community health, and prevent unnecessary health expenditures.

WWAMI

The Washington, Wyoming, Alaska, Montana, Idaho (WWAMI) PTN leverages existing relationships among eight owned and operated entities of UW Medicine, nine additional member organizations comprising the UW Medicine Accountable Care Network, and organizations affiliated with the WWAMI-region Practice and Research Network. WWAMI will enroll 6,739 clinicians who provide for 1.9+ million patients annually in the region. We will prepare practices for the transition of fee-for-service to a value-based payment model across the spectrum of care delivery: primary care, specialty care, inpatient care, and transitions back to home. Through these efforts, we will improve general population health outcomes for all patients, will target reduction of unnecessary health care utilization through evidence-based care standardization and incorporation of shared decision-making in specialty and primary care, and will reduce avoidable hospitalizations.

Arizona

Practice Innovation Institute

The network aims to engage 2,000 clinicians over the next four years. The network will provide direct technical assistance and coaching to participating providers and practices, as well as information technology support and assistance for travel and communications.

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Arkansas

MidSouth PTN

MidSouth PTN is a partnership between Vanderbilt University Medical Center, Vanderbilt Health Affiliated Network, including Baptist Memorial Healthcare, and the Safety Net Consortium of Middle Tennessee. MidSouth engages clinicians across Tennessee, Mississippi, and Arkansas in the process of transformation with the overall goal of providing patients with higher quality care and better clinical outcomes at lower cost. MidSouth PTN employs a unique two‐prong approach to practice transformation. First, quality improvement (QI) coaches, including Vanderbilt University Medical Center’s Physician Quality Scholars, actively engage clinicians offering QI interventions tailored to each practice’s needs and peer-to-peer coaching. Second, recognizing practices must eventually become independent in their QI efforts, MidSouth PTN also provides direct financial support for practices to enable their own staff to conduct transformation and QI activities that align with the PTN. MidSouth leverages the expertise of its diverse partnership to offer:

  • Infrastructure support to help with care coordination, assessment, and benchmarking of quality outcomes
  • Informatics expertise to expand data collection and analysis
  • Assistance with patient and community stakeholder engagement to improve health care delivery and patient satisfaction
  • Enhanced interaction between practices and ancillary services
  • Guidance on graduating into shared savings opportunities

MidSouth PTN welcomes family physicians in Tennessee, Arkansas, and Mississippi to contact us regarding the benefits of participating in MidSouth PTN.

California

Southwest Pediatric

The network aims to engage 1,450 pediatric primary care providers and specialists to lower the cost of care for six common pediatric conditions: asthma, bronchiolitis, community-acquired pneumonia, headaches, acute gastroenteritis, and acne. The conditions oftentimes result in unnecessary emergency department visits and hospitalizations, testing, and specialist referrals. The network will train, support, and provide technical assistance to transform pediatric primary care and specialty practices by cultivating a culture of quality to reduce variation in care and to build an infrastructure of rapid-cycle deployment of performance improvement tools, data, and metrics. The network will use evidence-based clinical care pathways throughout practices to improve healthcare outcomes and streamline health care delivery to reduce costs. The network will create culturally-sensitive care plans, employ strategies to improve access to and satisfaction with care, and facilitate a mutually beneficial learning environment that supports providers and increases accountability for health care outcomes through a regional interdependent health care system.

This PTN is focused on pediatrics. Please check back for information regarding recruiting status and contact information.

LA Care

The network aims to engage 3,100 clinicians and will use funding to enhance routine care for patients with diabetes and/or depression at high risk for hospitalization, optimize transitions to community care settings after acute hospitalization, increase frequency of medication reconciliation, and improve patient medication education and management in all care settings. Strategic use of key technologies at the point of care in support of these priorities will help prevent initial and repeat hospitalizations, and coaches will provide onsite and remote support to all practices in performing activities and achieving milestones detailed for each phase of transformation.

Pacific Business Group on Health - CQC

The network aims to engage nearly 5,000 primary care and specialty clinicians by leveraging an existing multi-payer, multi-stakeholder network system. The network will provide two tiers of coaching and peer-to-peer network support for provider organization leaders leading transformation within their systems and for practice coaches hired by the provider organizations to work intensively with a subset of clinicians. The network will also provide two tiers of data feedback on a set of triple-aim measures common across Medicare, commercial and Medicaid payers, and support provider organizations in strengthening technology and human-operated systems.

Pacific Business Group on Health's model works contracts with large health systems in their practice transformation work, and has a few more spaces available for applicants

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Colorado

Colorado Collaborative

The network aims to engage 2,000 clinicians in practice and clinician transformation. The network will provide on-the-ground health information technology assistance, practice facilitators for in-practice assistance with the transformation process, regional learning collaborative sessions twice a year, and a-learning modules and webinars to provide clinicians and staff with added opportunities to share experiences and learn important concepts, skills, and information.

Idaho

WWAMI

The Washington, Wyoming, Alaska, Montana, Idaho (WWAMI) PTN leverages existing relationships among eight owned and operated entities of UW Medicine, nine additional member organizations comprising the UW Medicine Accountable Care Network, and organizations affiliated with the WWAMI-region Practice and Research Network. WWAMI will enroll 6,739 clinicians who provide for 1.9+ million patients annually in the region. We will prepare practices for the transition of fee-for-service to a value-based payment model across the spectrum of care delivery: primary care, specialty care, inpatient care, and transitions back to home. Through these efforts, we will improve general population health outcomes for all patients, will target reduction of unnecessary health care utilization through evidence-based care standardization and incorporation of shared decision-making in specialty and primary care, and will reduce avoidable hospitalizations.

Louisiana

COSEHC

The network aims to engage nearly 3,500 clinicians by the end of initiative through a distance-learning platform to train and educate providers. The network will be supported by centralized resources that include data warehousing, analytics, transformation experts, care management strategies, evidence-based guideline development, and web-based educational tools. The PTN is onboarding providers on a first-come, first-serve basis.

Montana

WWAMI

The Washington, Wyoming, Alaska, Montana, Idaho (WWAMI) PTN leverages existing relationships among eight owned and operated entities of UW Medicine, nine additional member organizations comprising the UW Medicine Accountable Care Network, and organizations affiliated with the WWAMI-region Practice and Research Network. WWAMI will enroll 6,739 clinicians who provide for 1.9+ million patients annually in the region. We will prepare practices for the transition of fee-for-service to a value-based payment model across the spectrum of care delivery: primary care, specialty care, inpatient care, and transitions back to home. Through these efforts, we will improve general population health outcomes for all patients, will target reduction of unnecessary health care utilization through evidence-based care standardization and incorporation of shared decision-making in specialty and primary care, and will reduce avoidable hospitalizations.

Oklahoma

Compass Practice Transformation Network (Iowa Healthcare Collaborative)

The Compass Practice Transformation Network aims to engage 7,046 primary specialty care providers across Georgia, Iowa, Kansas, Nebraska, North Dakota, Oklahoma, and South Dakota. The network will use a centralized infrastructure of education, data management, and supporting resources to deploy local transformation activities through four-month transformation cycles and in­-person learning sessions. Core functions of the network will include recruitment of clinicians, technical assistance, patient and family engagement, leadership engagement, and practice-based education.

Oregon

PeaceHealth

The network aims to engage nearly 600 employed clinicians through the implementation of team-based care models within practices. These teams will work in tandem to integrate clinical findings, health metrics data, and chronic disease registry outcomes in a shared effort to identify high risk populations, validate success of interventions, and determine opportunities for further intervention. Through the network, the teams will improve management of care transitions to ensure proper clinical follow-up and remove barriers to appropriate care. The goals behind this evolution are to improve clinical outcomes, improve overall individual and community health, and prevent unnecessary health expenditures.

Texas

Tenet PTN

The network aims to engage 1,200 participating physicians by the end of the initiative. Tenet PTN offers access to clinically integrated networks which include clinicians, local hospitals, and participating payers. Through Tenet PTN, clinicians will be able to engage in innovative models with different payers in order to prepare them for the transition from FFS to FFV under CMS programs. The network will enhance practice outreach, educational offerings, analytic ability, and process improvement capabilities of physician practices. The network will develop a strategy for clinical and practice efficiency education and lead analysis of opportunities related to chronic disease management, inpatient and emergency room encounters, and duplicative or un-provided care both at a local level and based on shared best practices across regions. The network will also develop clinical outreach teams designed to provide intervention for high-risk patients, facilitate and provide education to practices as directed by the clinical quality team, and act as primary liaisons for practices to address major educational or operational needs. The network will include an analytics and reporting team to facilitate reporting of quality and claims data from payers and providers, develop data into regular operational reporting, and report information back to the practices to inform greater transformation.

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Washington

PeaceHealth

The network aims to engage nearly 600 employed clinicians through the implementation of team-based care models within practices. These teams will work in tandem to integrate clinical findings, health metrics data, and chronic disease registry outcomes in a shared effort to identify high risk populations, validate success of interventions, and determine opportunities for further intervention. Through the network, the teams will improve management of care transitions to ensure proper clinical follow-up and remove barriers to appropriate care. The goals behind this evolution are to improve clinical outcomes, improve overall individual and community health, and prevent unnecessary health expenditures.

WWAMI

The Washington, Wyoming, Alaska, Montana, Idaho (WWAMI) PTN leverages existing relationships among eight owned and operated entities of UW Medicine, nine additional member organizations comprising the UW Medicine Accountable Care Network, and organizations affiliated with the WWAMI-region Practice and Research Network. WWAMI will enroll 6,739 clinicians who provide for 1.9+ million patients annually in the region. We will prepare practices for the transition of fee-for-service to a value-based payment model across the spectrum of care delivery: primary care, specialty care, inpatient care, and transitions back to home. Through these efforts, we will improve general population health outcomes for all patients, will target reduction of unnecessary health care utilization through evidence-based care standardization and incorporation of shared decision-making in specialty and primary care, and will reduce avoidable hospitalizations.

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Wyoming

WWAMI

The Washington, Wyoming, Alaska, Montana, Idaho (WWAMI) PTN leverages existing relationships among eight owned and operated entities of UW Medicine, nine additional member organizations comprising the UW Medicine Accountable Care Network, and organizations affiliated with the WWAMI-region Practice and Research Network. WWAMI will enroll 6,739 clinicians who provide for 1.9+ million patients annually in the region. We will prepare practices for the transition of fee-for-service to a value-based payment model across the spectrum of care delivery: primary care, specialty care, inpatient care, and transitions back to home. Through these efforts, we will improve general population health outcomes for all patients, will target reduction of unnecessary health care utilization through evidence-based care standardization and incorporation of shared decision-making in specialty and primary care, and will reduce avoidable hospitalizations.

Apply for a TCPi PTN Now

The AAFP is here to help you apply for any of the practice transformation networks in your area.

Midwest Region

Includes: Illinois, Indiana, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota, and Wisconsin.

Illinois

Great Lakes

The network aims to engage 11,500 clinicians through learning practices capable of providing better health and improved care at a lower cost for a population of more than ten million Americans. The network will train and deploy 52 quality improvement advisors to coach clinicians through the five phases of patient-centric practice transformation, provide direct technical assistance in meaningful use, the Physician Quality Reporting system, and local quality improvement efforts to help prepare clinicians for participation in value-based payment systems.

Indiana

Great Lakes

The network aims to engage 11,500 clinicians through learning practices capable of providing better health and improved care at a lower cost for a population of more than ten million Americans. The network will train and deploy 52 quality improvement advisors to coach clinicians through the five phases of patient-centric practice transformation, provide direct technical assistance in meaningful use, the Physician Quality Reporting system, and local quality improvement efforts to help prepare clinicians for participation in value-based payment systems.

Iowa

Compass Practice Transformation Network (Iowa Healthcare Collaborative)

The Compass Practice Transformation Network aims to engage 7,046 primary specialty care providers across Georgia, Iowa, Kansas, Nebraska, North Dakota, Oklahoma, and South Dakota. The network will use a centralized infrastructure of education, data management, and supporting resources to deploy local transformation activities through four-month transformation cycles and in­-person learning sessions. Core functions of the network will include recruitment of clinicians, technical assistance, patient and family engagement, leadership engagement, and practice-based education.

Mayo Clinic

The network aims to engage 1,231 clinicians with extensive experience in implementing key components of the proposed care delivery model, including the delivery of team-based care, care transitions program to reduce readmissions, collaborative care models for behavioral health, medication therapy management programs, and shared decision making. The network will use the principles of minimally disruptive medicine to help clinicians reduce unnecessary care while engaging patients in treatment decisions and helping them build the capacity to manage their care.

Please check back for information regarding recruiting status.

 

Kansas

Compass Practice Transformation Network (Iowa Healthcare Collaborative)

The Compass Practice Transformation Network aims to engage 7,046 primary specialty care providers across Georgia, Iowa, Kansas, Nebraska, North Dakota, Oklahoma, and South Dakota. The network will use a centralized infrastructure of education, data management, and supporting resources to deploy local transformation activities through four-month transformation cycles and in­-person learning sessions. Core functions of the network will include recruitment of clinicians, technical assistance, patient and family engagement, leadership engagement, and practice-based education.

 

Minnesota

Mayo Clinic

The network aims to engage 1,231 clinicians with extensive experience in implementing key components of the proposed care delivery model, including the delivery of team-based care, care transitions program to reduce readmissions, collaborative care models for behavioral health, medication therapy management programs, and shared decision making. The network will use the principles of minimally disruptive medicine to help clinicians reduce unnecessary care while engaging patients in treatment decisions and helping them build the capacity to manage their care.

Please check back for information regarding recruiting status.

Missouri

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Nebraska

Compass Practice Transformation Network (Iowa Healthcare Collaborative)

The Compass Practice Transformation Network aims to engage 7,046 primary specialty care providers across Georgia, Iowa, Kansas, Nebraska, North Dakota, Oklahoma, and South Dakota. The network will use a centralized infrastructure of education, data management, and supporting resources to deploy local transformation activities through four-month transformation cycles and in­-person learning sessions. Core functions of the network will include recruitment of clinicians, technical assistance, patient and family engagement, leadership engagement, and practice-based education.

North Dakota

Compass Practice Transformation Network (Iowa Healthcare Collaborative)

The Compass Practice Transformation Network aims to engage 7,046 primary specialty care providers across Georgia, Iowa, Kansas, Nebraska, North Dakota, Oklahoma, and South Dakota. The network will use a centralized infrastructure of education, data management, and supporting resources to deploy local transformation activities through four-month transformation cycles and in­-person learning sessions. Core functions of the network will include recruitment of clinicians, technical assistance, patient and family engagement, leadership engagement, and practice-based education.

South Dakota

Compass Practice Transformation Network (Iowa Healthcare Collaborative)

The Compass Practice Transformation Network aims to engage 7,046 primary specialty care providers across Georgia, Iowa, Kansas, Nebraska, North Dakota, Oklahoma, and South Dakota. The network will use a centralized infrastructure of education, data management, and supporting resources to deploy local transformation activities through four-month transformation cycles and in­-person learning sessions. Core functions of the network will include recruitment of clinicians, technical assistance, patient and family engagement, leadership engagement, and practice-based education.

Wisconsin

Mayo Clinic

The network aims to engage 1,231 clinicians with extensive experience in implementing key components of the proposed care delivery model, including the delivery of team-based care, care transitions program to reduce readmissions, collaborative care models for behavioral health, medication therapy management programs, and shared decision making. The network will use the principles of minimally disruptive medicine to help clinicians reduce unnecessary care while engaging patients in treatment decisions and helping them build the capacity to manage their care.

Please check back for information regarding recruiting status.

Mid-Atlantic Region

Includes: Michigan, Ohio, Pennslyvania, Virginia, and West Virginia.

Michigan

Great Lakes

The network aims to engage 11,500 clinicians through learning practices capable of providing better health and improved care at a lower cost for a population of more than ten million Americans. The network will train and deploy 52 quality improvement advisors to coach clinicians through the five phases of patient-centric practice transformation, provide direct technical assistance in meaningful use, the Physician Quality Reporting system, and local quality improvement efforts to help prepare clinicians for participation in value-based payment systems.

Tenet PTN

The network aims to engage 1,200 participating physicians by the end of the initiative. Tenet PTN offers access to clinically integrated networks which include clinicians, local hospitals, and participating payers. Through Tenet PTN, clinicians will be able to engage in innovative models with different payers in order to prepare them for the transition from FFS to FFV under CMS programs. The network will enhance practice outreach, educational offerings, analytic ability, and process improvement capabilities of physician practices. The network will develop a strategy for clinical and practice efficiency education and lead analysis of opportunities related to chronic disease management, inpatient and emergency room encounters, and duplicative or un-provided care both at a local level and based on shared best practices across regions. The network will also develop clinical outreach teams designed to provide intervention for high-risk patients, facilitate and provide education to practices as directed by the clinical quality team, and act as primary liaisons for practices to address major educational or operational needs. The network will include an analytics and reporting team to facilitate reporting of quality and claims data from payers and providers, develop data into regular operational reporting, and report information back to the practices to inform greater transformation.

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Want more information?

Ohio

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Pennsylvania

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Tenet PTN

The network aims to engage 1,200 participating physicians by the end of the initiative. Tenet PTN offers access to clinically integrated networks which include clinicians, local hospitals, and participating payers. Through Tenet PTN, clinicians will be able to engage in innovative models with different payers in order to prepare them for the transition from FFS to FFV under CMS programs. The network will enhance practice outreach, educational offerings, analytic ability, and process improvement capabilities of physician practices. The network will develop a strategy for clinical and practice efficiency education and lead analysis of opportunities related to chronic disease management, inpatient and emergency room encounters, and duplicative or un-provided care both at a local level and based on shared best practices across regions. The network will also develop clinical outreach teams designed to provide intervention for high-risk patients, facilitate and provide education to practices as directed by the clinical quality team, and act as primary liaisons for practices to address major educational or operational needs. The network will include an analytics and reporting team to facilitate reporting of quality and claims data from payers and providers, develop data into regular operational reporting, and report information back to the practices to inform greater transformation.

Virginia

COSEHC

The network aims to engage nearly 3,500 clinicians by the end of initiative through a distance-learning platform to train and educate providers. The network will be supported by centralized resources that include data warehousing, analytics, transformation experts, care management strategies, evidence-based guideline development, and web-based educational tools. The PTN is onboarding providers on a first-come, first-serve basis.

VHQC

The network aims to engage 1,250 primary care clinicians, with the goal of improving care for more than one million patients. The network will provide on-site technical assistance to improve quality measures, use data to drive improvement, and build a value-based medical neighborhood. Additionally, the network will develop sustainable revenue generating service lines to help support practice transformation. Participants will network with peers and receive benchmarking data.

West Virginia

VHQC

The network aims to engage 1,250 primary care clinicians, with the goal of improving care for more than one million patients. The network will provide on-site technical assistance to improve quality measures, use data to drive improvement, and build a value-based medical neighborhood. Additionally, the network will develop sustainable revenue generating service lines to help support practice transformation. Participants will network with peers and receive benchmarking data.

Northeast Region

Includes: Connecticut, Deleware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, and Vermont.

Connecticut

Connecticut Network

The network aims to engage more than 1,500 clinicians, focusing on clinicians in health professional shortage areas and targeting underserved populations with high prevalence of diabetes, asthma, and hypertension. The network will support assessments of health centers and practices, creation of a transformation dashboard, readiness coaching, leadership development, learning collaborative development, practice transformation support, and management clinical tools and resources.

Please check back for information regarding recruiting status.

Southern New England

The network aims to engage approximately 5,400 clinicians through the readiness phases of practice transformation, preparing participants to adopt new payment models that reward improved clinical outcomes, and reduce hospitalizations and other unnecessary testing. Quality improvement advisors will train, educate, and coach practices in the transformation phases. The network will create shared learning experiences that emphasize the value of collaboration, innovation and data-driven, evidence-based decision making. The network will focus on clinical measures related to diabetes, asthma, heart failure, and key aspects of geriatric care, targeting measurable and significant improvement.

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Delaware

Health Partners Delmarva

The network aims to engage at least 1,600 clinicians to increase physician alignment, improve quality, and share health information technology. The network will provide participating clinicians direct technical support to make the required transformation. The network will also provide clinicians with access to problem-solving, peer-directed groups to share in and learn about quality improvement and cost reduction, access to nationally-recognized faculty, and access to robust data, analytic, and care management.

District of Columbia

VHQC

The network aims to engage 1,250 primary care clinicians, with the goal of improving care for more than one million patients. The network will provide on-site technical assistance to improve quality measures, use data to drive improvement, and build a value-based medical neighborhood. Additionally, the network will develop sustainable revenue generating service lines to help support practice transformation. Participants will network with peers and receive benchmarking data.

Maine

Northern New England

The network aims to engage over 1,300 primary care and specialty clinicians in 400 or more practices across the region. By working with a wide range of in-state organizations and using a cooperative extension model of local service delivery, the network will provide the support physician practices need in order to achieve sustainable practice transformation. The network will provide quality improvement assistance from on-site practice facilitators and from expert faculty in a peer-oriented learning community, supplemented by practical tools and a wide range of additional resources and support.

Maryland

Health Partners Delmarva

The network aims to engage at least 1,600 clinicians to increase physician alignment, improve quality, and share health information technology. The network will provide participating clinicians direct technical support to make the required transformation. The network will also provide clinicians with access to problem-solving, peer-directed groups to share in and learn about quality improvement and cost reduction, access to nationally-recognized faculty, and access to robust data, analytic, and care management.

VHQC

The network aims to engage 1,250 primary care clinicians, with the goal of improving care for more than one million patients. The network will provide on-site technical assistance to improve quality measures, use data to drive improvement, and build a value-based medical neighborhood. Additionally, the network will develop sustainable revenue generating service lines to help support practice transformation. Participants will network with peers and receive benchmarking data.

Massachusetts

Southern New England

The network aims to engage approximately 5,400 clinicians through the readiness phases of practice transformation, preparing participants to adopt new payment models that reward improved clinical outcomes, and reduce hospitalizations and other unnecessary testing. Quality improvement advisors will train, educate, and coach practices in the transformation phases. The network will create shared learning experiences that emphasize the value of collaboration, innovation and data-driven, evidence-based decision making. The network will focus on clinical measures related to diabetes, asthma, heart failure, and key aspects of geriatric care, targeting measurable and significant improvement.

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

New Hampshire

Northern New England

The network aims to engage over 1,300 primary care and specialty clinicians in 400 or more practices across the region. By working with a wide range of in-state organizations and using a cooperative extension model of local service delivery, the network will provide the support physician practices need in order to achieve sustainable practice transformation. The network will provide quality improvement assistance from on-site practice facilitators and from expert faculty in a peer-oriented learning community, supplemented by practical tools and a wide range of additional resources and support.

New Jersey

Garden PTN

The network aims to engage more than 11,500 clinicians to gather and use clinical quality measures, improve chronic care management, and improve both efficiency and costs. Garden PTN has coaches delivering best practices from our partners' support and alignment networks. Each provider will also be taught the benefits and value of transitional care management and how to reduce 30-day hospital readmissions.

New Jersey Medical & Health Associates dba CarePoint Health

The network aims to engage 800 clinicians, including primary and specialty care clinicians. The network will establish a framework to ensure successful planning, development, and implementation throughout the transformation process.  

Please check back for information regarding recruiting status.

New York

Care Transitions SMI NYS

The network aims to engage 4,000 clinicians, focusing on clinicians who provide services to patients with severe mental illness (specifically those with schizophrenia, psychotic disorders, bipolar disorder, and chronic depression in the high risk post-discharge period for psychiatric or medical hospitalization). The network will help clinicians in using a centralized care management program that coordinates care for patients in the post-discharge period for psychiatric or medical hospitalization and a robust technology platform that ensures communication between providers and across organizations. The network will provide a data-driven learning collaborative to support clinicians in implementing evidence-based practices to best serve the target population.

New York State

The network aims to engage up to 11,193 eligible clinicians statewide (7,275 primary care clinicians and 3,918 specialty care clinicians). The network will target and track improvement of key program indicators, including measures related to wellness, high blood pressure, and diabetes control, physician quality reporting system enrollment and reporting, health information technology and meaningful use, tobacco use screening and cessation interventions, and improvements in transitions of care following hospital admission.

Please check back for information regarding recruiting status.

Greater NYC

The network aims to engage roughly 1,900 clinicians by providing practice facilitation, information technology, and data management support, as well as project management, oversight, and training. The network will use the 10 Building Blocks of High-Performing Primary Care model and the Chronic Care Model to guide transformation efforts from foundational stages of leadership engagement and team-based care toward advanced stages of population management, care coordination, and patient and community engagement. The network will engage clinicians in learning collaboratives, peer coaching, and best practice dissemination.

Please check back for information regarding recruiting status.

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Rhode Island

Rhode Island Network

The network aims to engage 1,500 primary care and specialty clinicians by providing assessments to test effectiveness and identify valuable practice transformation strategies, curricula, and resources. The network will also work with participating practices to improve care team experience, patient experience, and quality of care, reduce hospital readmissions, and move at least 1,125 clinicians into value-based payment models.

Please check back for information regarding recruiting status.

Vermont

Northern New England

The network aims to engage over 1,300 primary care and specialty clinicians in 400 or more practices across the region. By working with a wide range of in-state organizations and using a cooperative extension model of local service delivery, the network will provide the support physician practices need in order to achieve sustainable practice transformation. The network will provide quality improvement assistance from on-site practice facilitators and from expert faculty in a peer-oriented learning community, supplemented by practical tools and a wide range of additional resources and support.

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Southeast Region

Includes: Alabama, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, and Tennessee.

Alabama

Alabama Physician Alliance

The network aims to engage 1,350 clinicians over the next four years in improving outcomes for diabetes, asthma, and heart failure by 10 percent, and reducing unnecessary testing and avoidable hospitalizations by 25 percent. The network will place trained quality improvement advisors in clinician practices, support clinicians through the Patient-Centered Medical Home and Patient-Centered Specialty Practice Recognition process, and link data systems to a centralized registry.

Alabama Physician Alliance is currently recruiting physicians across central Alabama.

COSEHC

The network aims to engage nearly 3,500 clinicians by the end of initiative through a distance-learning platform to train and educate providers. The network will be supported by centralized resources that include data warehousing, analytics, transformation experts, care management strategies, evidence-based guideline development, and web-based educational tools. The PTN is onboarding providers on a first-come, first-serve basis.

Florida

COSEHC

The network aims to engage nearly 3,500 clinicians by the end of initiative through a distance-learning platform to train and educate providers. The network will be supported by centralized resources that include data warehousing, analytics, transformation experts, care management strategies, evidence-based guideline development, and web-based educational tools. The PTN is onboarding providers on a first-come, first-serve basis.

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

 

Georgia

Compass Practice Transformation Network (Iowa Healthcare Collaborative)

The Compass Practice Transformation Network aims to engage 7,046 primary specialty care providers across Georgia, Iowa, Kansas, Nebraska, North Dakota, Oklahoma, and South Dakota. The network will use a centralized infrastructure of education, data management, and supporting resources to deploy local transformation activities through four-month transformation cycles and in­-person learning sessions. Core functions of the network will include recruitment of clinicians, technical assistance, patient and family engagement, leadership engagement, and practice-based education.

COSEHC

The network aims to engage nearly 3,500 clinicians by the end of initiative through a distance-learning platform to train and educate providers. The network will be supported by centralized resources that include data warehousing, analytics, transformation experts, care management strategies, evidence-based guideline development, and web-based educational tools. The PTN is onboarding providers on a first-come, first-serve basis.

Kentucky

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Louisiana

COSEHC

The network aims to engage nearly 3,500 clinicians by the end of initiative through a distance-learning platform to train and educate providers. The network will be supported by centralized resources that include data warehousing, analytics, transformation experts, care management strategies, evidence-based guideline development, and web-based educational tools. The PTN is onboarding providers on a first-come, first-serve basis.

Mississippi

COSEHC

The network aims to engage nearly 3,500 clinicians by the end of initiative through a distance-learning platform to train and educate providers. The network will be supported by centralized resources that include data warehousing, analytics, transformation experts, care management strategies, evidence-based guideline development, and web-based educational tools. The PTN is onboarding providers on a first-come, first-serve basis.

MidSouth PTN

MidSouth PTN is a partnership between Vanderbilt University Medical Center, Vanderbilt Health Affiliated Network, including Baptist Memorial Healthcare, and the Safety Net Consortium of Middle Tennessee. MidSouth engages clinicians across Tennessee, Mississippi, and Arkansas in the process of transformation with the overall goal of providing patients with higher quality care and better clinical outcomes at lower cost. MidSouth PTN employs a unique two‐prong approach to practice transformation. First, quality improvement (QI) coaches, including Vanderbilt University Medical Center’s Physician Quality Scholars, actively engage clinicians offering QI interventions tailored to each practice’s needs and peer-to-peer coaching. Second, recognizing practices must eventually become independent in their QI efforts, MidSouth PTN also provides direct financial support for practices to enable their own staff to conduct transformation and QI activities that align with the PTN. MidSouth leverages the expertise of its diverse partnership to offer:

  • Infrastructure support to help with care coordination, assessment, and benchmarking of quality outcomes
  • Informatics expertise to expand data collection and analysis
  • Assistance with patient and community stakeholder engagement to improve health care delivery and patient satisfaction
  • Enhanced interaction between practices and ancillary services
  • Guidance on graduating into shared savings opportunities

MidSouth PTN welcomes family physicians in Tennessee, Arkansas, and Mississippi to contact us regarding the benefits of participating in MidSouth PTN.

North Carolina

Community Care of NC

By September 2019, we will engage and support 3,000 clinicians across North and South Carolina in transforming their practices for success in a value-based health care environment. These clinicians will achieve sustained improvement in practice efficiency and quality of care, as well as demonstrate savings through reduction of unnecessary testing and avoidable hospital use. Their patients will use more preventive services, engage in better management of chronic conditions, experience better health outcomes, and report greater satisfaction with care received.

Practices will be supported with:

  • An on-site practice transformation coach with expertise in QI methodologies, practice facilitation, population management, care coordination, and self-management. Coach will also know how to use data and analytics to support transformation.
  • Expert resources for implementing behavioral health integration and medication management strategies.
  • Technical tools for rapid-cycle measurement and feedback and patient registries for identifying gaps in care and tracking outcomes.
  • Assistance with proactive, data-driven identification of patients most likely to benefit from targeted interventions.

COSEHC

The network aims to engage nearly 3,500 clinicians by the end of initiative through a distance-learning platform to train and educate providers. The network will be supported by centralized resources that include data warehousing, analytics, transformation experts, care management strategies, evidence-based guideline development, and web-based educational tools. The PTN is onboarding providers on a first-come, first-serve basis.

South Carolina

Community Care of NC

By September 2019, we will engage and support 3,000 clinicians across North and South Carolina in transforming their practices for success in a value-based health care environment. These clinicians will achieve sustained improvement in practice efficiency and quality of care, as well as demonstrate savings through reduction of unnecessary testing and avoidable hospital use. Their patients will use more preventive services, engage in better management of chronic conditions, experience better health outcomes, and report greater satisfaction with care received.

Practices will be supported with:

  • An on-site practice transformation coach with expertise in QI methodologies, practice facilitation, population management, care coordination, and self-management. Coach will also know how to use data and analytics to support transformation.
  • Expert resources for implementing behavioral health integration and medication management strategies.
  • Technical tools for rapid-cycle measurement and feedback and patient registries for identifying gaps in care and tracking outcomes.
  • Assistance with proactive, data-driven identification of patients most likely to benefit from targeted interventions.

COSEHC

The network aims to engage nearly 3,500 clinicians by the end of initiative through a distance-learning platform to train and educate providers. The network will be supported by centralized resources that include data warehousing, analytics, transformation experts, care management strategies, evidence-based guideline development, and web-based educational tools. The PTN is onboarding providers on a first-come, first-serve basis.

Vizient PTN

VHA-UHC PTN is now Vizient PTN. The Vizient Practice Transformation Network is aimed to enroll 20,811 specialty and primary care clinicians, mainly from academic/university based medical centers, during year one and approximately 26,000 by year four. Our metrics focus on quality/clinical processes, access to care, clinic utilization, cost savings, outcomes, and patient satisfaction. Our partners include Stanson Health/Choosing Wisely® to assist clinicians with clinical decision-making, America's Essential Hospitals (AEH) to leverage race, ethnicity, and language (REAL) data to improve health outcomes, and AVIA, an innovative technology firm to help with real-time patient satisfaction tools.

Tennessee

COSEHC

The network aims to engage nearly 3,500 clinicians by the end of initiative through a distance-learning platform to train and educate providers. The network will be supported by centralized resources that include data warehousing, analytics, transformation experts, care management strategies, evidence-based guideline development, and web-based educational tools. The PTN is onboarding providers on a first-come, first-serve basis.

MidSouth PTN

MidSouth PTN is a partnership between Vanderbilt University Medical Center, Vanderbilt Health Affiliated Network, including Baptist Memorial Healthcare, and the Safety Net Consortium of Middle Tennessee. MidSouth engages clinicians across Tennessee, Mississippi, and Arkansas in the process of transformation with the overall goal of providing patients with higher quality care and better clinical outcomes at lower cost. MidSouth PTN employs a unique two‐prong approach to practice transformation. First, quality improvement (QI) coaches, including Vanderbilt University Medical Center’s Physician Quality Scholars, actively engage clinicians offering QI interventions tailored to each practice’s needs and peer-to-peer coaching. Second, recognizing practices must eventually become independent in their QI efforts, MidSouth PTN also provides direct financial support for practices to enable their own staff to conduct transformation and QI activities that align with the PTN. MidSouth leverages the expertise of its diverse partnership to offer:

  • Infrastructure support to help with care coordination, assessment, and benchmarking of quality outcomes
  • Informatics expertise to expand data collection and analysis
  • Assistance with patient and community stakeholder engagement to improve health care delivery and patient satisfaction
  • Enhanced interaction between practices and ancillary services
  • Guidance on graduating into shared savings opportunities

MidSouth PTN welcomes family physicians in Tennessee, Arkansas, and Mississippi to contact us regarding the benefits of participating in MidSouth PTN.

 


The project described was supported by Funding Opportunity Number CMS CMS-1L1-15-002, from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services.

The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

Apply for a TCPi PTN Now

The AAFP is here to help you apply for any of the practice transformation networks in your area.