ACEP’s Support and Alignment

Network (SAN)

Funded by the Center for Medicare & Medicaid Innovation (CMMI) as part of the Transforming Clinical Practice Initiative (TCPI)

J. Schuur, MD, MHS, FACEP

CMS Transforming Clinical Practice Initiative: What is it?

• The TCPI is designed to help clinicians achieve large-scale health transformation • support >140,000 clinician practices over the next four

years in sharing, adapting and further developing their comprehensive quality improvement strategies.

• ACEP is one of 39 health care organizations selected to participate in the CMMI TCPI• One of 10 Support and Alignment Networks (SAN)

J. Schuur, MD, MHS, FACEP

Support and Alignment Networks (SAN): What is it?

• SANs formed by professional associations and others that align their memberships, communication channels, continuing medical education credits and other work to support the PTNs and clinician practices.

• 4-year, $3 million grant to ACEP• Funds support project staff, clinical experts, data

infrastructure and analytics

ACEP’s SAN Focus Areas

A. Savings lives through improved sepsis care

B. Reducing avoidable care by supporting clinicians and patients around ACEP’s Choosing Wisely™ recommendations:1. reducing use of high-cost imaging for low back pain, 2. head CT scan after minor head injury, 3. chest CT for pulmonary embolus,4. abdominal CT for renal colic

C. Improving value of ED chest pain evaluation by reducing avoidable testing and hospitalization

J. Schuur, MD, MHS, FACEP

What will ACEP’s Transforming Clinical Practice Initiative provide?• Learning collaboratives on focus topics

• Best practices from pioneers in their fields• Technical assistance from national thought leaders• Benchmarking data through the ACEP CEDR• Tailored eCME and MOC Activities (with ABEM)• Social media communities

Publicity & Enrollment

ED KickoffIdentify barriers and interventionsShare Toolkit

Group Learning (Webinars)Presentations by leading practicesOffice hours with expertsQI Methods

Wrap up:Share dataLessons LearnedSustainability

For more information

• Join us in the movement to improve health outcomes for emergency patients across the nation!• TCPI Resources for More Information:

www.acep.org/tcpi

• Contacts: tcpi [at] acep.orgStacie Jones sjones [at] acep.org Nalani Tarrant ntarrant [at] acep.org Jay Schuur: jschuur [at] partners.org Arjun Venkatesh: arjun.venkatesh [at] yale.edu

CMS’s TCPI Goals for SANs• To assist clinicians in transforming their practices and commit themselves and their

communities of practice to quantifiable outcomes aligned with the overall aims of the TCPI model, including:

1. Support more than 150,000 clinicians in work to achieve practice transformation;

2. Build the evidence base on practice transformation so that effective solutions can be scaled, if successful;

3. Improve health outcomes for 5 million Medicare, Medicaid and CHIP beneficiaries.

4. Reduce unnecessary hospitalizations and other overutilization of other services for 5 million Medicare, Medicaid and CHIP beneficiaries;

5. Sustain efficient care delivery for Medicare, Medicaid and CHIP beneficiaries by moving at least 75% of clinicians that complete the TCPI phases of transformation to participate in incentive programs and practice models that reward value upon completion of TCPI;

6. Generate savings to the federal government over a period of 4 years through reduced Medicare, Medicaid and CHIP expenditures. In addition, we believe commercial payers may experience savings as a result of this model.