Pediatric- Transforming Clinical Practice Initiative (TCPI)

Focus

Practice transformation network that works to improve health outcomes and reduce hospitalizations and overutilization of other services for 450,000 Washington children on Medicaid and the Children's Health Insurance Program. The program assists clinicians in adopting care delivery strategies for integrating quality and process improvement to provide evidence-based, efficient, coordinated and patient/family-centered care, with particular focus on:

  • Improving asthma care, well-child check-ups, and immunizations
  • Decreasing avoidable emergency room visits and hospital admissions
  • Improving access to pediatric behavioral healthcare
  • Implementing clinical business operations that take advantage of value-based payment reform
Provided by
Washington State Department of Health
Partners

Washington Chapter of American Academy of Pediatrics (WCAAP) and Molina Healthcare

Funded by
Centers for Medicare & Medicaid Services (CMS)
Regional Availability
Statewide
Targeted Participants

Primary care and behavioral health pediatric practices, practices with an emphasis on rural and underserved areas

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

Targeted patient populations
Medicaid
Pediatrics
Timeframe
2015-2019
Practice Responsibilities
  • Senior management facilitates practice-wide participation
  • Dedicate staff time to conduct practice improvement activities throughout the project period
  • Conduct monthly reporting on three clinical and one process improvement measure as determined by the clinic’s practice assessment and ability to report
  • Participate in monthly events, including webinars, community workshops, and/or practice facilitator site visit
  • Complete  a practice assessment tool every six months
Practice Benefits
  • Free support for you and your staff to improve care for your patients
  • Preparation for value-based reimbursement and sustaining your business
  • Free continuing medical education (CME) and support for Maintenance of Certification for Quality Improvement (MOC/QI) certification
  • Support for behavioral health integration
  • Ongoing reports on key clinical and utilization metrics on Molina patients
  • Payment for care coordination for clinics participating in Health Home Care Coordination Organization training
Contact

Melissa Thoemke, Melissa.thoemke@doh.wa.gov