Professional Associations & Public-Private Partnerships in Transforming Clinical Practice Initiative - Support & Alignment Networks (SANs)
The ten professional associations and organizations that participated in TCPI as SANs supported clinicians in value-based care delivery and prepared them for participation in Alternative Payment Models (APMs) by:
- Enabling transformation through their existing and emerging assets, programs, and communications channels;
- Spreading best practices to their 350K+ primary and specialty care clinician membership and professional sectors; and
- Ensuring sustainability and continued diffusion of learning within the health care community.
Professional Organization (Acronym)
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Membership/Reach: 93,000 board-certified family medicine physicians
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Practice Transformation Resources: PRIME Registry
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SAN Profile & Spotlight Video: ABFM Profile (PDF) | ABFM Spotlight (MP4)
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Membership/Reach: 33,000 emergency medicine physicians, residents, students
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Practice Transformation Resources: Emergency Quality Network (E-QUAL)
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SAN Profile & Spotlight Video: ACEP Profile (PDF) | ACEP Spotlight (MP4)
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American College of Physicians (ACP)
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Membership/Reach: 159,000 internal medicine physicians
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Practice Transformation Resources: High Value Care Coordination curriculum | ACP Advance | Annals on Call podcasts
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SAN Profile & Spotlight Video: ACP Profile (PDF) | ACP Spotlight (MP4)
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American College of Radiology (ACR)
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Membership/Reach: 38,000 radiologists
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Practice Transformation Resources: Clinical Decision Support (CDS) | 2019 ACR Appropriateness Criteria
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SAN Profile & Spotlight Video: ACR Profile (PDF) | ACR Spotlight (MP4)
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American Medical Association (AMA)
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Membership/Reach: 240,000 physicians
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SAN Profile & Spotlight Video: AMA Profile (PDF) | AMA Spotlight (MP4)
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American Psychiatric Association (APA)
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Membership/Reach: 34,000 psychiatrists, residents, students
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Practice Transformation Resources: Collaborative Care Model (CoCM)
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SAN Profile & Spotlight Video: APA Profile (PDF) | APA Spotlight (MP4)
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HCD International (HCDI)
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Membership/Reach: Reach 50,000 through partnerships with minority health professional organizations
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Practice Transformation Resources: Caring for Your Health | MACRA Mondays
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SAN Profile & Spotlight Video: HCDI Profile (PDF) | HCDI Spotlight (MP4)
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National Nurse-led Care Consortium (NNCC)
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Membership/Reach: 80,000+ nurse practitioners and 1,200+ FQHCs
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SAN Profile & Spotlight Video: NNCC Profile (PDF) | NNCC Spotlight (MP4)
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Network for Regional Healthcare Improvement (NRHI)
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Membership/Reach: 30+ Regional Healthcare Improvement Collaboratives
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Practice Transformation Resources: Learning Lab
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SAN Profile & Spotlight Video: NRHI Profile (PDF) | NRHI Spotlight (MP4)
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Patient-centered Primary Care Collaborative (PCPCC)
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Membership/Reach: 19,000 supporters
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Practice Transformation Resources: Resource Library | Webinars and Videos
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SAN Profile & Spotlight Video: PCPCC Profile (PDF) | PCPCC Spotlight (MP4)
2019 SAN Program Focus Areas
In addition to supporting clinicians and practices enrolled in TCPI, these associations worked on several activities to spread best practices and ensure sustainability and diffusion of learning.
Exemplary Practice Brief (PDF)
Each SAN’s Exemplary Practice Framework articulated a unique vision of care delivery for their professional sector and spheres of influence. This brief includes an overview of the frameworks, impact on the work of the SANs, and plans to leverage these Exemplary Practice Frameworks to support transformation toward value-based care.
Professional Association Reach and Dissemination (PDF)
This document provides an overview of the approximate membership and wider influence of each SAN organization, as well as their outreach activities and communications channels to distribute information about the TCPI model and prepare their professional sectors to transition to value-based care.
2019 Annals of Family Medicine Special Issue
“Lessons from Practice Transformation” includes early findings from multiple examples of health extension and practice transformation support, including several articles from members of the TCPI community. All full-text articles are available for download here. The overview presentation given to the TCPI community of practice by Dr. Bob Phillips can be accessed here.
The Power Packs are examples of innovative transformational accomplishments at the practice level that address specific, discrete hurdles on the pathway to preparing a clinical practice to adopt an alternative payment model (APM). The Power Packs address challenges in six core topics for practice improvement:
- Sustainable Business Operations
- Person and Family Engagement
- Joy in Work and Satisfaction
- Understanding Data
- Evidence-Based Care
- Care-Coordination
2019 SAN Summit
The SANs worked with CMS to engage additional medical associations and support a wider audience of health care providers in delivering value-based care. The culmination of these efforts was the 2019 SAN Summit (Agenda (PDF), titled “Professional Associations as Partners in Delivering Value-based Care,” held with the following additional 18 medical associations in attendance:
- American Academy of Family Physicians
- American Academy of Orthopaedic Surgeons
- American Academy of Physical Medicine and Rehabilitation
- American Association of Nurse Practitioners
- American College of Surgeons
- American Nurses Association
- American Osteopathic Association
- American Society of Anesthesiologists
- American Society of Clinical Oncology
- American Society of Plastic Surgeons
- American Urological Association
- Association of American Indian Physicians
- Association of American Medical Colleges
- National Council of Asian Pacific Islander Physicians
- National Hispanic Medical Association
- National Medical Association
- Society for Interventional Radiology
- Society of General Internal Medicine
The Summit showcased strategies employed by the SANs to support clinicians and practices in delivering value-based care through workforce skills development and innovative quality improvement programs. The Summit aimed to establish a critical mass of association commitments to preparing their clinician members for participation in APMs and other value-based payment arrangements.
SANs and invited associations shared specific commitments to support their members in transitioning to value-based care to ensure a powerful legacy for the next year after the close of the TCPI model, which included SANs being a resource to the invited associations and continued engagement of professional organizations with CMS on policymaking and program development.
Publications: Peer-Reviewed Articles from TCPI
American Board of Family Medicine (ABFM)
- Annals of Family Medicine Special Issue Lessons from Practice Transformation
- Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network
- Experience of Family Physicians in Practice Transformation Networks
American College of Emergency Physicians (ACEP)
- Urban and Rural Emergency Department Performance on National Quality Metrics for Sepsis Care in the US
- Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights from E-QUAL
American College of Physicians (ACP)
American College of Radiology (ACR)
- R-SCAN and Its Role to Promote Health Equity in the Delivery of Radiology Care
- Other R-SCAN articles in the Journal of the American College of Radiology
American Psychological Association (APA)
- Tele-Behavioral Health, Collaborative Care, and Integrated Care: Learning to Leverage Scarce Psychiatric Resources over Distance, Populations, and Time
- Collaborative Care for Depression of Adults and Adolescents: Measuring the Effectiveness of Screening and Treatment Uptake
National Nursing Centers Consortium (NNCC)
- AANP Forum in the Journal for Nurse Practitioners: May 2019, July 2018, April 2018
Additional Information
For additional information, please contact transformation@cms.hhs.gov.
- SAN Power Packs
- Experts in Clinical Practice Transformation: TCPI National Faculty Alumni
- TCPI Overview
- Center for Medicare and Medicaid Innovation (Innovation Center)