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The Transforming Clinical Practice Initiative (TCPI) program rang in the New Year with a robust event for enrolled clinicians in our community of practice. Clinicians and staff members learned of the important role and value of data for continuous improvement through a no-nonsense presentation with Elaine Fontaine, RIQI's Director of Data Quality and Analytics. Elaine shared salient components of the fundamentals of Improvement Science, in conjunction with examples from years in working alongside the outpatient provider community. National TCPI faculty member, Kirsten Meisinger, MD, followed Elaine with nuts and bolts application at her busy practice in Cambridge, MA. Dr. Meisinger shared one story of her Medical Assistants' bold move to change a workflow for a healthcare proxy form -> send to practice leadership for feedback -> within two days a final workflow was enacted. The audience followed with a lively discussion around the importance of culture change within a practice so that staff feels empowered to stimulate positive change.                                                                                         

TCPI is a four year program whose aim is to support 140,000 clinicians across the country by providing at-the-elbow technical assistance in preparation for value-based payments. In Rhode Island, RIQI is supporting over 1,500 clinicians through an 8.3 million grant from the Centers for Medicare and Medicaid Services. Clinicians are learning the techniques of improvement science through the individualized support of Practice Facilitators and through collaborative learning with their peers. If you have not already signed up for TCPI, please call us at 888-858-4815 or email us at

Transforming Clinical Practice Initiative (TCPI)

As the Transforming Clinical Practice Initiative (TCPI) program at the RI Quality Institute (RIQI) moves into its second year, we reflect on the Centers for Medicare & Medicaid Services' (CMS) seven broad aims and particularly how the RI healthcare community has embraced these aims:

Support more than 140,000 clinicians nationally in their practice transformation work - In RI, over 1,000 clinicians, both in primary and specialty care practices have engaged with RIQI in practice transformation

Build the evidence base on practice transformation so that effective solutions can be scaled  - RI has begun to build the evidence base for transformation through small tests of change at the practice level

Improve health outcomes for millions of Medicare, Medicaid and CHIP beneficiaries and other patients - By connecting RI's specialty practices to RI primary care practices, we are creating an environment of integrated care delivery

Reduce unnecessary hospitalizations for 5 million patients - RIQI has documented reductions in unnecessary hospitalizations through use of CurrentCare, the statewide Health Information Exchange

Sustain efficient care delivery by reducing unnecessary testing and procedures - In addition to CurrentCare as a vehicle to reduce unnecessary testing, RIQI encourages clinicians to adopt the American Board of Family Medicine's Choosing Wisely® initiative -

Generate $1 to $4 billion in savings to the federal government and commercial payers - RIQI has demonstrated cost savings as a result of using Hospital Alerts for care coordination

Transition 75% of practices completing the program to participate in Alternative Payment Models - The goal of TCPI is to prepare clinicians for the payment methodologies that are unfolding through CMS's Quality Payment Program.

For more information on TCPI or to determine your eligibility for the program, please contact us at: 888-858-4815 or email

Our Mission

The mission of the Care Transformation Collaborative is to lead the transformation of primary care in Rhode Island in the context of an integrated health care system; and to improve the quality of care, the patient experience of care, the affordability of care, and the health of the populations we serve.