Transforming Clinical Practice Initiative (TCPI)

Take the Next Step

Email the AAFP today and get connected to participiating PTNs in your area.


What is TCPI?

The Transforming Clinical Practice initiative (TCPI) is a four-year (September 2015-2019) technical assistance program designed to help clinicians expand their quality improvement capacity, engage in greater peer-to-peer learning, and utilize health data to determine gaps and target intervention needs.

How Can TCPI Help Your Practice?

TCPI provides free practice transformation support to your practice.

This technical assistance is designed to prepare you for success under Medicare’s Quality Payment Program (QPP), including the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

Practices enrolled in TCPI receive customized transformation support.
Utilizing a practice assessment tool, Practice Transformation Networks (PTNs) work with practices to review current capabilities and develop a work plan to focus on areas of opportunity for improvement. Quality Improvement Advisors then help the practice execute the work plan and access available tools and resources.

TCPI participants enrolled in a PTN may receive continuing medical education credit through their PTN, ABFM Family Medicine Certification-Performance improvement activity credit( (formerly maintenance of certification), free enrollment in the PRIME Registry( for up to 3 years, and improvement activity points under the Merit-based Incentive Payment program (MIPS).

Get Started Today

Contact AAFP at to connect with Practice Transformation Networks recruiting in your area and learn about other resources available to you.

More About the TCPI Program

TCPI hopes to achieve the quadruple aim with the following specific goals:

  • Reduce unnecessary hospitalizations for 5 million patients;
  • Improve health outcomes for millions of Medicare, Medicaid, and HCIP beneficiaries and other patients;
  • Sustain efficient care delivery by reducing unnecessary testing and procedures;
  • Build the evidence base on practice transformation so that effective solutions can be scaled; and
  • Transition 75% of practices completing the program to participate in Alternative Payment Models (APMs).

TCPI offers free technical assistance to practices to prepare for the QPP. There are ten Support and Alignment Networks (SANs), 29 practice transformation networks (PTNs), and 14 Quality Improvement Organizations (QIOs) providing coaching, resources, and tools to support practices.

Each PTN is different, offering a variety of resources. The AAFP can help you find the PTN that is right for you and your practice.

Examples of PTN offerings include:

  • Communities of learning through in person collaboratives
  • On-site practice transformation coaches
  • Informatics expertise to expand data collection and analysis
  • Online educational content
  • Leadership and professional development

The PRIME Support and Alignment Network (SAN)

The AAFP and the American Board of Family Medicine (ABFM) are collaborating as the PRIME Support and Alignment Network (PRIME SAN).

The PRIME SAN is working to:

  • Recruit and connect family physicians to PTNs;
  • Support a TCPI member interest group (MIG) to allow AAFP members participating in TCPI and interested in the outcomes of the project to connect and share information, experiences, and resources;
  • Provide ABFM Family Medicine Certification-Performance improvement activity credit (formerly maintenance of certification) to participating practices;
  • Offer TCPI-focused continuing medical education sessions at Family Medicine Experience (FMX);
  • Offer ABFM’s Practice Performance Coaching Guide to support practice transformation;
  • Use unique, established communication and engagement channels (publications, national meetings, state chapter sessions) to disseminate learning among practices;
  • Develop Practice Improvement Activity  modules to translate practice transformation successes; and
  • Offer the PRIME Registry( to the first 6,000 ABFM board-certified family physicians to support quality measure tracking and reporting.

Programs Ineligible for TCPI

Practices and/or family physicians participating in the following programs are not eligible to receive technical assistance from the TCPI program:

  • Medicare Shared Savings Program
  • Pioneer ACO Program
  • Next Generation ACO Model
  • Multi-Payer Advanced Primary Care Practice
  • Comprehensive Primary Care Plus

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.

Take the Next Step

Email the AAFP today and get connected to participiating PTNs in your area.


AAFP Members: Join the TCPI Member Interest Group

Engage members in discussions regarding changes needed to be positioned for alternative payment models (APMs). Open to AAFP members only.

Learn more and join »