1. Data, Data and More Data; Findings from the Practice Assessment Tool Prepared for HCDI SAN
This webinar is provided free-of-charge and is supported by Grant Number 1L1CMS from the U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services. The contents provided in this webinar are solely the responsibility of the presenters and do not necessarily represent the official views of HHS or any of its agencies.

2. Objectives/Topics Review the TCPI Aims
Understand purpose and use of the TCPI Practice Assessment Tool (PAT)
Review Great Lakes PTN PAT results
Identify opportunities to optimize data using the PAT tool

3. Transforming Clinical Practice Goals

5. Practice Assessment Tool
The Practice Assessment Tool (PAT) is used by PTNs to capture data and information about their practices. This tool assesses the stages of transformation and measures the opportunities for improvement.

6. Great Lakes Practice Transformation Network
Tierra Pinkins, MPH, CHES – Senior Network Coordinator

7. Agenda Introduction to Great Lakes Practice Transformation Network
Data
Lessons Learned

8. GLPTN: Who We Are
GLPTN formed as part of the Transforming Clinical Practices Initiative (TCPI) to help clinicians achieve large-scale health transformations through collaborative and peer-based learning networks
One of 29 practice transformation networks (PTNs) awarded
10 support and alignment networks (SANs) awarded to support PTNs
Awarded $46.4 million of $685 million total
Lead organizations:
Indiana University (primary grant recipient)
Purdue Healthcare Advisors (Indiana)
Northwestern University (Illinois)
Altarum Institute (Michigan and Ohio)
University of Kentucky (Kentucky)
** For GLPTN network only

9. GLPTN Key Facts $46.4M received $1B in cost savings
Over 33 healthcare partners
8 universities
Indiana, Michigan, Illinois, Ohio, Kentucky, West Virginia
15,500+ clinicians (35% over goal!)
10 million+ lives impacted
More than 52 on-site, on-demand
Quality Improvement Advisors

10. Clinical Quality Measures
Medication Management
Controlling high blood pressure
Anticoagulation therapy in patients with atrial fibrillation
Unnecessary Testing
Advanced diagnostic imaging
Esophageal-gastric-duodenoscopy (EGD)
Colonoscopy
Prevention
Influenza vaccination rates
Behavioral Health
Depression screening and follow-up
Chronic Disease Management
Diabetes
Chronic Obstructive Pulmonary Disorder (COPD)
Congestive Heart Failure (CHF)
Reducing Preventable Hospitalizations

11. TCPI Key Indicators of Success
Partner with 11,500 clinicians to transform to value-based care
Improve health outcomes for 10 million patients
Reduce unnecessary hospitalizations
Generate at least $1B in cost savings to payers
Reduce unnecessary testing and procedures to improve efficiency
Build evidence base to scale effective solutions
** For GLPTN network only

12. Our Transformation Toolkit
We offer a four-part change package to help you shape your practice for the
future of healthcare delivery and compensation.
Implementation Science: Learn how to identify practice areas that could benefit most from improvement, and those that should get immediate attention
Lean and Six Sigma: Improve the flow of your workplace, so you can make changes to your processes as soon as you see the need for them
Personalized Population Health: Help with reporting data for patient groups with certain core conditions so treatments that benefit them become clear
CMS Compliance: Prepare you to get ready for new performance-based compliance standards, and qualify for incentives under MIPS.

13. Agenda Introduction to Great Lakes Practice Transformation Network
Data
Lessons Learned

14. Demographics
37.7% Medically Underserved
11% FQHCs

15. TCPI Five Phases of Practice Transformation
Set aims
Use data to drive care
Achieve progress on aims
Achieve benchmark status
Thrive as a business via pay-for-value approaches
** For GLPTN network only

16. Practice Assessments

17. Practice Assessments

18. Practice Assessments 0.0% 0.3% 9.4% 6.4% 32.0% 3.9% 16.6% 3.1% 20.3%
DRIVER
Driver % Completion
Specialist
Primary Care
0.0%
0.3%
0. Aims
1.1 Patient Family Engagement
9.4%
6.4%
1.2 Team Based Relationship
32.0%
3.9%
1.3 Population Management
16.6%
3.1%
1.4 Community Partner
20.3%
11.2%
1.5 Coordinated Care
13.1%
1.7%
1.6 Organized Evidenced-Based Care
28.0%
1.7 Enhanced Access
51.4%
80.2%
2.1 Engaged and Committed Leadership
1.4%
2.2 QI Strategy Supporting Culture of Qualit
12.9%
5.3%
2.3 Transparent Measurement and Monitoring
21.7%
15.9%
2.4 Optimized Health Information Technology
5.4%
17.0%
3.1 Strategic Use of Revenue
58.6%
38.5%
3.2 Workforce Vitality and Joy in Work
19.4%
23.5%
3.3 Capability to Analyze and Document Value
3.4 Operational Efficiency
5.1%
2.8%

19. Practice Assessments Driver % Completion Urban Suburban Rural Mix
Driver % Completion
Urban
Suburban
Rural
Mix
Driver
0.0%
0.8%
0. Aims
1.1 Patient Family Engagement
9.1%
2.9%
9.3%
16.7%
1.2 Team Based Relationship
16.8%
5.0%
33.9%
50.0%
1.3 Population Management
8.6%
21.2%
33.3%
1.4 Community Partner
15.0%
10.8%
23.7%
1.5 Coordinated Care
5.5%
0.7%
20.3%
1.6 Organized Evidenced-Based Care
14.5%
30.5%
1.7 Enhanced Access
66.1%
87.8%
41.5%
2.1 Engaged and Committed Leadership
1.4%
4.2%
2.2 QI Strategy Supporting Culture of Qualit
5.9%
29.7%
2.3 Transparent Measurement and Monitoring
17.3%
3.6%
40.7%
2.4 Optimized Health Information Technology
13.9%
5.8%
3.1 Strategic Use of Revenue
59.3%
53.4%
3.2 Workforce Vitality and Joy in Work
23.4%
13.7%
24.6%
3.3 Capability to Analyze and Document Value
3.4 Operational Efficiency
3.0%

20. Agenda Introduction to Great Lakes Practice Transformation Network
Data
Lessons Learned

21. 1. Identifying Bright Spots
States identify exceptional performance
Confirm the positive deviance
Share throughout the network using Healthcare Communities platform

22. 2. Developing Action Plans
Identify goals
TCPi Utilization Aims
Clinical Outcomes
Business Operations
Implementation Plan
Quality Measures

23. 3. Developing Affinity Groups
Strategize how clinician affinity groups within GLPTN will be created
Specialty
Clinical Quality Measures
Practice Type
Pediatrics Affinity Group first to be formed out of Illinois

24. 4. MACRA/MIPS Readiness
Preparing practices for Merit-Based Incentive Payment System or an Alternative Payment model
Combining PAT, quality measure data and other sources of information to provide a diagnostic assessment

25. Thank you!
Questions?
Website: glptn.org

26. Knitasha V. Washington, DHA, FACHE kwashington@patientsafety.org
Consumers Advancing Patient Safety
405 N. Wabash Ave., Ste. P2W
Chicago, IL, 60611
Telephone: 
facebook/drknitashawashington
@drknitasha – Twitter