PeaceHealth Practice Transformation Network

Transforming Clinical Practice Initiative (TCPI)

Practice transformation network that works with PeaceHealth-employed clinicians in implementing team-based care models within the practices. Teams work in tandem to integrate clinical findings, health metrics data, and chronic disease registry outcomes in a shared effort to identify high-risk populations, validate success of interventions, and determine opportunities for further intervention. Goals include:

  • Improving clinical outcomes
  • Improving overall health of individuals and communities
  • Preventing unnecessary health expenditures
Provided by
PeaceHealth Ketchikan Medical Center
Funded by
Centers for Medicare & Medicaid Services (CMS)
Regional Availability
Targeted Participants

Medicare Physician Quality Reporting System (PQRS)-eligible professionals, critical access hospitals, federally qualified health centers (FQHCs), fee-for-service clinics, and PeaceHealth providers that do not already belong to a Medicare Shared Savings program (MSSP, CPCI, etc.)

(note: Individual clinicians enrolled in this TCPI network may not enroll in another TCPI network)

Targeted patient populations
All patients
*Must be a patient in the PeaceHealth system
Practice Responsibilities
  • Participate in practice assessments every six months
  • Share  monthly clinical and outcome results
  • Attend  national and local training webinars and PTN-led events
  • Actively engage in implementation of “best practices” strategies
  • Commit to system-wide standardization of “best practices” as developed
Practice Benefits
  • Onsite, community-specific process improvement and change management support
  • Centralized support for billing and data quality reporting
  • Care coordination resources to help manage patients with chronic diseases, and social/economic and behavioral health needs
  • Implementation of an integrated, system-wide electronic medical record (EMR) to improve communication and coordination of care across settings
  • Assistance moving toward alternative payment models (APMs)