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Clinician's Perspective

Clinician's Perspective

I'm very excited to be part of GLPTN and witness firsthand some of the exciting changes that are taking place in our healthcare system to help promote high quality care. I hope to see the tools of implementation science put to the test to help rapidly disseminate meaningful improvements to healthcare processes and ultimately to patients' lives.Ashley Overley, MD, Assistant Medical Director, Division of Mental Health & Addiction IN Family & Social Services Administration

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Apply Now

Fill out the form below to apply today.

GLPTN Application Form

Fields marked with an * are required

*This does not exclude the participant from joining one of these alternate payment model programs in future years.

Great Lakes Practice Transformation Network Letter of Participation

This Letter of Participation is between the aforementioned Participant Institution and the Service Delivery Institution of Illinois (Northwestern University), Indiana (Purdue Healthcare Advisors) or Michigan (Altarum Institute), part of the Great Lakes Practice Transformation Network. The purpose of this Letter of Participation is to show commitment between the Participant Institution and Service Delivery Institution in Transforming Clinical Practices Initiative (TCPI) work, which aims to transform the practices of 11,500 clinicians across Indiana, Illinois, and Michigan, into learning practices capable of providing better health and improved care at a lower cost.

By entering into this Letter of Participation, Participant Institution is acknowledging that they are not a member of: a) Medicare Accountable Care Organization (Pioneer ACO program); b) Shared Savings Program; c) Multi-payer advanced primary care program; or d) Comprehensive primary care initiative. This does not exclude the participant from joining one of these alternate payment model programs in future years. Participant Institution also acknowledges they can only have membership in one CMS funded practice transformation network.

Each organization participating in the Great Lakes Practice Transformation Network will be offered technical assistance and support consisting of National, Regional and State-based tools and resources. Local, State-based resources consist of Quality Improvement Advisors (“QIA’s) who will coach the Participant through the Transforming Clinical Practice Initiative’s (TCPI) five phases of patient-centric practice transformation. QIAs can provide direct technical assistance to help prepare clinicians for participation in value-based payment systems: a) Meaningful Use; b) Physician Quality Reporting System/Value Based Payment Modifier; c) Patient-Centered Medical Home; and d) MIPS.

Participants will have the opportunity to participate in focused improvement efforts chosen from, but not limited to the following menu:

  1. Medication Management (HBP Control)
  2. Medication Management (Anticoagulants)
  3. Flu Vaccination
  4. COPD Management
  5. CHF Management
  6. Depression Screening & Follow-up
  7. Diabetes Management
  8. Other, Practice identified priorities for clinical quality improvement

In support of the Participants, Quality Improvement Advisors will utilize the GLPTN “Transformational Change Toolkit” that integrates multiple practice transformation approaches:

  1. Implementation science: Developing tools, processes, and strategies for rapid, efficient, and sustainable implementation of evidence-based programs and practices in the local “real world.”
  2. Lean and Six Sigma process improvement tools
  3. Patient-centric, personalized population health management
  4. Practice assessment and monthly feedback loop

Participant will also have access to National CMS Transforming Clinical Practice Initiative (TCPI) Resources:

  1. TCPI Knowledge Management website with access to registration for CMS events, improvement curriculum, tools and resource management
  2. Support & Alignment Network (SAN) to achieve alignment with medical education, maintenance of certification.
  3. TCPI National Faculty Expertsto provide expertise to continuing development and spread of TCPI Aims and Goals
  4. National Community of Practicewhere content and resources are available for all member participants

Participant agrees to actively collaborate with Service Delivery Institution to implement these Services.  In order to do this, the Participant commits to the following:

  1. Dedicate timely resources to the project
  2. Designate a point of contact and /internal QI champion
  3. Regularly communicate with the QIA
  4. Participate in the completion of an initial readiness assessment and continuous measurement and assessment of practice advancement through the phases of transformation
  5. Actively participate in transformational activities
  6. Participation in the Physician Quality Reporting System, if eligible.
  7. Participation in the Value Modifier Program.
  8. Data Sharing: aggregate data on chosen quality improvement measures will be collected and reported to CMS quarterly, as well as, utilized by the network to produce monthly feedback reports for participating practices

The term of this participation coincides with the period of the Practice Transformation Network award received from CMS.  The award expires 9/28/2019.  This Agreement will expire six (6) months after completion of the completion of the TCPI five phases ofpatient-centric practice transformation or no later than the award expiration date. If the participant joins an Accountable Care Organization,Shared Saving Program, multi-payer advanced primary care program, comprehensive primary care initiative or other practice transformation network Service Delivery Institution must be notified and this notification will constitute as the termination of this Letter of Participation.  Demographic information will be requested (see Attachment A).  This agreement shall expire if demographic information is not submitted within 30 days.

Attachment A

Organization

  • Name
  • Address
  • TIN/EIN
  • EHR Vendor
  • Number of sites being enrolled in PTN
  • Total number of clinicians being enrolled in PTN
  • Type of Organization
    • Assisted Living Facility
    • Organ Procurement Organization
    • HRSA Offices and Bureaus
    • Quality Improvement Organization - QIO
    • State Based Improvement  Organization
    • Nursing Home
    • Specific Cohorts
    • Hospital
    • Federally Qualified Health Center - FQHC
    • Private Single Specialty Practice
    • Private Multi Specialty Practice
    • Hospital/Health System Owned
    • Academic Institution Affiliate
    • Rural Clinic
    • Other

Individual Providers

  • Name
  • Credentials
  • NPI
  • Taxonomy
  • Does your patient population include Medicare, Medicaid or CHIP? (Yes or No)
  • Site Name
  • Site Address
  • Site point of contact (provider, practice manager, medical assistant, etc.)

Please complete the following demographic data collection spreadsheet within 30 days to finalize participation in the Great Lakes Practice Transformation Network.

Participant Demographic Information (Excel File)


 

 

Fields marked with an * are required

*This does not exclude the participant from joining one of these alternate payment model programs in future years.

Great Lakes Practice Transformation Network Letter of Participation

This Letter of Participation is between the aforementioned Participant Institution and the Service Delivery Institution of Illinois (Northwestern University), Indiana (Purdue Healthcare Advisors) or Michigan (Altarum Institute), part of the Great Lakes Practice Transformation Network. The purpose of this Letter of Participation is to show commitment between the Participant Institution and Service Delivery Institution in Transforming Clinical Practices Initiative (TCPI) work, which aims to transform the practices of 11,500 clinicians across Indiana, Illinois, and Michigan, into learning practices capable of providing better health and improved care at a lower cost.

By entering into this Letter of Participation, Participant Institution is acknowledging that they are not a member of: a) Medicare Accountable Care Organization (Pioneer ACO program); b) Shared Savings Program; c) Multi-payer advanced primary care program; or d) Comprehensive primary care initiative. This does not exclude the participant from joining one of these alternate payment model programs in future years. Participant Institution also acknowledges they can only have membership in one CMS funded practice transformation network.

Each organization participating in the Great Lakes Practice Transformation Network will be offered technical assistance and support consisting of National, Regional and State-based tools and resources. Local, State-based resources consist of Quality Improvement Advisors (“QIA’s) who will coach the Participant through the Transforming Clinical Practice Initiative’s (TCPI) five phases of patient-centric practice transformation. QIAs can provide direct technical assistance to help prepare clinicians for participation in value-based payment systems: a) Meaningful Use; b) Physician Quality Reporting System/Value Based Payment Modifier; c) Patient-Centered Medical Home; and d) MIPS.

Participants will have the opportunity to participate in focused improvement efforts chosen from, but not limited to the following menu:

  1. Medication Management (HBP Control)
  2. Medication Management (Anticoagulants)
  3. Flu Vaccination
  4. COPD Management
  5. CHF Management
  6. Depression Screening & Follow-up
  7. Diabetes Management
  8. Other, Practice identified priorities for clinical quality improvement

In support of the Participants, Quality Improvement Advisors will utilize the GLPTN “Transformational Change Toolkit” that integrates multiple practice transformation approaches:

  1. Implementation science: Developing tools, processes, and strategies for rapid, efficient, and sustainable implementation of evidence-based programs and practices in the local “real world.”
  2. Lean and Six Sigma process improvement tools
  3. Patient-centric, personalized population health management
  4. Practice assessment and monthly feedback loop

Participant will also have access to National CMS Transforming Clinical Practice Initiative (TCPI) Resources:

  1. TCPI Knowledge Management website with access to registration for CMS events, improvement curriculum, tools and resource management
  2. Support & Alignment Network (SAN) to achieve alignment with medical education, maintenance of certification.
  3. TCPI National Faculty Expertsto provide expertise to continuing development and spread of TCPI Aims and Goals
  4. National Community of Practicewhere content and resources are available for all member participants

Participant agrees to actively collaborate with Service Delivery Institution to implement these Services.  In order to do this, the Participant commits to the following:

  1. Dedicate timely resources to the project
  2. Designate a point of contact and /internal QI champion
  3. Regularly communicate with the QIA
  4. Participate in the completion of an initial readiness assessment and continuous measurement and assessment of practice advancement through the phases of transformation
  5. Actively participate in transformational activities
  6. Participation in the Physician Quality Reporting System, if eligible.
  7. Participation in the Value Modifier Program.
  8. Data Sharing: aggregate data on chosen quality improvement measures will be collected and reported to CMS quarterly, as well as, utilized by the network to produce monthly feedback reports for participating practices

The term of this participation coincides with the period of the Practice Transformation Network award received from CMS.  The award expires 9/28/2019.  This Agreement will expire six (6) months after completion of the completion of the TCPI five phases ofpatient-centric practice transformation or no later than the award expiration date. If the participant joins an Accountable Care Organization,Shared Saving Program, multi-payer advanced primary care program, comprehensive primary care initiative or other practice transformation network Service Delivery Institution must be notified and this notification will constitute as the termination of this Letter of Participation.  Demographic information will be requested (see Attachment A).  This agreement shall expire if demographic information is not submitted within 30 days.

Attachment A

Organization

  • Name
  • Address
  • TIN/EIN
  • EHR Vendor
  • Number of sites being enrolled in PTN
  • Total number of clinicians being enrolled in PTN
  • Type of Organization
    • Assisted Living Facility
    • Organ Procurement Organization
    • HRSA Offices and Bureaus
    • Quality Improvement Organization - QIO
    • State Based Improvement  Organization
    • Nursing Home
    • Specific Cohorts
    • Hospital
    • Federally Qualified Health Center - FQHC
    • Private Single Specialty Practice
    • Private Multi Specialty Practice
    • Hospital/Health System Owned
    • Academic Institution Affiliate
    • Rural Clinic
    • Other

Individual Providers

  • Name
  • Credentials
  • NPI
  • Taxonomy
  • Does your patient population include Medicare, Medicaid or CHIP? (Yes or No)
  • Site Name
  • Site Address
  • Site point of contact (provider, practice manager, medical assistant, etc.)

Please complete the following demographic data collection spreadsheet within 30 days to finalize participation in the Great Lakes Practice Transformation Network.

Participant Demographic Information (Excel File)