The Practice Innovation Institute (Pii) was Arizona’s Practice Transformation Network (PTN) under the Center for Medicare & Medicaid Services (CMS) Transforming Clinical Practice Initiative (TCPI).  In 2015, Health Current, Arizona’s health information exchange, was awarded a four-year grant under the TCPI program, and in collaboration with Mercy Care, Pii was formed. 

Established to assist Arizona clinicians in developing innovations in clinical practice and care delivery in order to prepare for successful participation in value-based, alternative payment programs, Pii was comprised of 435 practices.  The Pii organizations represented several areas across the care spectrum including Federally Qualified Health Centers (FQHCs), behavioral health providers, integrated care clinics, and other primary and specialty services.

The program concluded at the end of September 2019.  At that time, Pii was able to report achieving (and in most cases exceeding) program commitments.  Pii’s commitments were based on the bold AIMs set forth by CMS nationally for TCPI including:

Progress Against Commitments
As of the 15th Quarter of the program, TCPI was reporting significant progress against the program commitments.  TCPI reported achieving 100% or greater on 3 (nearly 4) of the 6 TCPI Aims across all PTNs (there were 29 PTNs).   As of this same time period, Pii had reported achieving 5 of the 6 Aims.  Aim 2, Transformation, was achieved shortly after the close of this reporting period.  Note that the results are capped at 100% in the following graphs that compare TCPI to Pii.

TCPI PTN Commitment Progress – All PTNs                                                                         TCPI PTN Commitment Progress – Pii

   

Specific detail regarding Pii’s progress against commitments, prior to the end of the grant, is as follows:

During the four-year grant program, Pii was able to provide countless hours of no-cost technical assistance to participants.  Crucial to the transformation that occurred was the support to practices, by the practice transformation consultants, educational webinars and consultation on quality improvement projects as well as providing technical support such as access to Health Current.  As a result of the efforts, the following about claims can be made by Pii practices:

  • Pii practices demonstrate quality improvement processes that far exceed typical practice environments and have implemented evidence-based sustainable solutions that benefit the patient and payer
  • Pii Practices have received education on management protocols and have integrated targeted approaches for outreach to address high risk patients, outstanding screenings, and other care needs
  • Pii Practices have implemented Patient and Family Engagement metrics
  • Pii Practices have integrated Health Information Technology into their workflow including connectivity to Health Current