Be Part of the Nation’s Healthcare Transformation

The Transforming Clinical Practice Initiative (TCPI) will assist 140,000 clinicians in improving the way they deliver care by providing technical assistance support for integrating quality and process improvement, and by building on and spreading existing change methodologies, practice transformation tools, published literature, and technical assistance programs. Clinicians that will be supported by TCPI include primary and specialty physicians, nurse practitioners, physician assistants, clinical pharmacists, and their practices.

Opportunities to Get Involved

Clinicians that are interested in participating in TCPI should email, providing contact information and the state in which you practice. You may also click the map image to find information on the Practice Transformation Networks (PTNs) in each state that are providing technical assistance to practices enrolled in TCPI.


  • Support more than 140,000 clinicians in their practice transformation work
  • Improve health outcomes for millions of Medicare, Medicaid and CHIP beneficiaries and other patients
  • Reduce unnecessary hospitalizations for 5 million patients
  • Generate $1 to $4 billion in savings to the federal government and commercial payers
  • Sustain efficient care delivery by reducing unnecessary testing and procedures
  • Transition 75% of practices completing the program to participate in Alternative Payment Models
  • Build the evidence base on practice transformation so that effective solutions can be scaled

TCPI Overview

To download a brief overview of TCPi please click the button below.

TCPi Overview

2018 NEP Materials

Materials from the 9 August 2018 National Experts Panel are now available for download!
Click to view materials


The Consortium for Southeastern Hypertension Control (COSEHC) PTN

The COSEHC QualityImpact PTN serves 742 community practices in 9 southeastern states and additionally has a few enrolled practices outside of this region. COSEHC’s primary focus is on improving cardiovascular health. COSEHC’s clinical measures include blood pressure control and attainment of evidence-based target goals in other high-impact cardiovascular risk factors. By focusing on these clinical measures, COSEHC has achieved 37 million dollars in cost savings, 64 percent of their four-year goal. These efforts are impacting over 2 million patients.

Using a holistic transformation approach COSEHC engages clinician and practice teams by:

  • setting practice expectations upfront prior to engagement in TCPi, and again on enrollment,
  • aligning transformation assistance work with practice goals,
  • designing action plans to optimize attainment of practices’ quality and cost goals,
  • evaluating each practice’s use of clinical guidelines,
  • offering relevant and time sensitive education for providers and departments,
  • ensuring use of data sources, such as EHRs and payer data,
  • providing frequent high-touch technical assistance.

The COSEHC PTN attributes their success to interventions such as:

  • practice-level data transparency and peer-to-peer comparison reports,
  • direct coaching to increase awareness, address challenges, and drive performance,
  • population health management tools,
  • alignment with value-based payer expectations,
  • workflow redesign, and
  • billing and coding optimization.

COSEHC reports 90% of their enrolled practices acknowledge the positive affect of the PTN on their work and approximately 33% of their enrolled physicians have graduated to Alternative Payment Models (APMS). To learn more about the COSEHC PTN visit their website @, or contact Debra Simmons, Executive Director @