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U.S. Department of Health and Human Services: Transforming Clinical Practice Initiative Support and Alignment Network

Deadline: January 6, 2015

The Transforming Clinical Practice Initiative (TCPI) model will test whether a three-pronged approach to national technical assistance will enable 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 (PTN) 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 others that align their memberships, communication channels, continuing medical education credits and other work to support the PTNs and clinician practices.

This opportunity is intended for the SANs. Applicants that are selected as SAN cooperative agreement awardees will work to leverage primary and specialist care transformation work and learning in the field. The TCPI model will fund successful applicants as SANs that propose the most compelling approaches to assisting clinicians in transforming their practices and that commit themselves and their communities of practice to quantifiable outcomes. These outcomes must be aligned with the overall aims of the TCPI model, including:

  1. Support more than 150,000 clinicians in work to achieve practice transformation
  2. Build the evidence base on practice transformation so that effective solutions can be scaled, if successful
  3. Improve health outcomes for 5 million Medicare, Medicaid and CHIP beneficiaries
  4. Reduce unnecessary hospitalizations and other overutilization of other services for 5 million Medicare, Medicaid and CHIP beneficiaries
  5. Sustain efficient care delivery for Medicare, Medicaid and CHIP beneficiaries by moving at least 75% of clinicians that complete the TCPI phases of transformation to participate in incentive programs and practice models that reward value upon completion of TCPI
  6. Generate savings to the federal government over a period of 4 years through reduced Medicare, Medicaid and CHIP expenditures

The TCPI model will assist clinicians in changing the way they deliver care by integrating quality and process improvement to build on and spread existing change methodologies, practice transformation tools, published literature, key learnings, and technical assistance programs. For the TCPI model, clinicians include primary care and specialty physicians, nurse practitioners, physician assistants, clinical pharmacists, and their respective practices.

Amount: Up to $30 million is available for up to 30 awards ranging from $1,000,000-$3,000,000 each. Grants will cover a 4-year period.

Eligibility: An organization must be recognized as a single legal entity by the state where it is incorporated, and must have a unique Taxpayer Identification Number (TIN). Examples of the types of organizations that could serve as Support and Alignment Networks include, but are not limited to, medical professional associations and specialty societies, organizations involved in generating evidence-based guidelines for clinical practice, and organizations promoting measurement and improvement through clinical registries and electronic health records.

Link: https://www.grantsolutions.gov/gs/preaward/previewPublicAnnouncement.do?id=50057

Note: A letter of intent to apply is due by November 20, 2014.

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