9830 Mayland Drive, Suite J ׀ Richmond, VA 23233 ׀ 804.289.5320 ׀ www.hqi.solutions

Join the HQI Practice Transformation Network

Be a Leader! Prepare for the Switch from Volume-Based to Value-Based Payment

The creation of the Health Quality Innovators (HQI) Practice Transformation Network (PTN) presents a unique opportunity for you to become a national healthcare leader when the Sustainable Growth Rate sunsets at the end of 2018 and more payment is tied to value instead of only fee-for-service. This is your chance to make a commitment now to prepare for the future. Payment reform will begin on January 1, 2019, but the value-based funds you receive then will be based on performance in 2017.

This change will be caused by the enactment of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA will link physician payments to quality, value measurements, and participation through Merit-Based Incentive Payment Systems (MIPS) and Alternative Payment Models (APMs). Work in this project will enable you to be successful in these new payment models.

Why is the Transforming Clinical Practice Initiative (TCPI) Important?

This PTN is being led by HQI, one of 29 healthcare collaborative networks recently selected by the Centers for Medicare & Medicaid Services (CMS) to be part of the Transforming Clinical Practice Initiative (TCPI). TCPI is aiming to help clinicians achieve large-scale healthcare transformation. The goals of this four-year engagement with clinicians include:

1. Support for over 140,000 clinicians in their practice transformation work.

2. Improve health outcomes for millions of Medicare, Medicaid, and CHIP beneficiaries and other patients.

3. Reduce unnecessary hospitalizations for 5 million patients.

4. Generate $1 to $4 billion in savings.5. Sustain efficient care delivery by reducing

unnecessary testing and procedures.6. Build the evidence base on practice

transformation so effective solutions can be scaled.

Why You Should Join the HQI PTN• Opportunity to be recognized as a national healthcare leader• Increase quality of care, decrease resource utilization through PQRS and

Value-Modifier programs• Free assistance from HQI• Compare your data to other providers on a national/regional level• Access to a community forum with peers and subject experts

9830 Mayland Drive, Suite J ׀ Richmond, VA 23233 ׀ 804.289.5320 ׀ www.hqi.solutions

HQI's role in the PTN will include providing free technical assistance support to help equip clinicians with tools, information, and network support needed to improve quality of care, increase patients’ access to information, help people live healthier lives, and spend healthcare dollars more wisely. Clinicians will benefit from this initiative by being able to:

• Optimize health outcomes for your patients• Promote connectedness of care for your

patients• Learn from high performers about how to

effectively engage patients and families incare planning

• Spend more time caring for your patients• Have a stronger alignment with new and

emerging federal policies.

What is Practice Transformation?

There are five phases of practice transformation and each phase is more advanced. The resources you find in HQI's PTN will help your practice work through each one. To get your practice started, HQI will do an assessment to determine which phase you are in, then we will tailor our support to assist you in moving through the phases.

To learn more about leading the way in value-based healthcare and joining the HQI Practice Transformation Network, contact HQI at 804-289-5320 or at physicianservices@hqi.solutions.

Boost Your Practice’s Skill Set Learn how to: • Report and analyze clinical performance data• Identify patients with multiple chronic conditions and manage their care• Coordinate with other providers to manage transitions from inpatient care• Build “medical neighborhoods” of best-value specialists to refer patients• Implement and optimize annual wellness visits, chronic care management and

transitional care management

Your Commitment to the HQI PTN• Provide data to HQI that allows us to target your improvement goals• Attend monthly learning sessions such as webinars and conferences• Participate in CMS PQRS and Value-Modifier programs• Host visits and attend monthly calls for free coaching and assistance