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Centers for Medicare and Medicaid Services: Transforming Clinical Practice Initiative (TCPI) Support and Alignment Network (SAN) 2.0

Deadline: July 11, 2016

The Transforming Clinical Practice Initiative (TCPI) model tests whether a three-pronged approach to national technical assistance enables large scale transformation of thousands of clinician practices to deliver better care and result in better health outcomes at lower costs for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) enrollees. This technical assistance design includes:

  1. Aligned federal and state programs and resources moving toward common transformation goals;
  2. Practice Transformation Networks (PTNs) formed by group practices, health care systems, and others that join together to serve as trusted partners to provide clinician practices with quality improvement expertise, best practices, coaching and help as they prepare and conduct clinical and operational practice transformation; and
  3. Support and Alignment Networks (SANs) formed by professional associations and other types of healthcare institutions through direct coaching on performance improvement, and align their memberships, communication channels, continuing medical education credits, and other related work to rapidly transform a large number of clinician practices to achieve lower total costs of care, higher quality of care in communities, and alignment to participate in Alternative Payment Models (APMs).

Applicants that are selected as SAN 2.0 cooperative agreement awardees will work to leverage primary and specialist care transformation work and learning in the field. SAN 2.0 awardees will add a valuable technical assistance asset to TCPI that will catalyze the accelerated adoption of APMs, prior to 2019, at very large scale, and with very low cost. By implementing accelerated practice transformation strategies, the SAN 2.0 awardees will provide expertise needed to spread transformation knowledge to the entire TCPI community and support the 6 goals of TCPI. SAN 2.0 represents a significant enhancement to the TCPI network expertise and capability to align with delivery system reform programs recently authorized under the Medicare Access and CHIP Reauthorization Act of 2015. As a non-payment, service delivery model, TCPI SAN 2.0 will identify, enroll, and provide tailored technical assistance to advanced practices in an effort to reduce Medicare, Medicaid, and CHIP program expenditures by transitioning practices through the phases of transformation specified in this FOA and enhancing the quality, efficiency, and coordination of care they deliver.

Amount: Up to $10,000,000 is available for awards ranging from $500,000-$2,500,000 each over three years.

Eligibility: Organizations including health care delivery systems and health care delivery plans which: 1) presently provide quality improvement support to a large number of clinicians; 2) are multi-regional or national in scope; 3) are involved in generating evidence-based guidelines for clinical practice; 4) are effectively using measurement through clinical registries and electronic health records; and 5) are committed to expanding action to improve safety and person and family engagement. Medical professional associations and specialty societies may also apply.

Link: https://www.grantsolutions.gov/gs/preaward/previewPublicAnnouncement.do?id=56861

Note: A mandatory Letter of Intent is due July 1, 2016.

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