TCPI Power Packs

The Transforming Clinical Practice Initiative (TCPI) developed by the Centers for Medicare & Medicaid Services (CMS), assists 140,000 clinicians in changing the way they deliver health care through technical assistance to implement process and quality improvements. TCPI supports primary and specialty clinicians, nurse practitioners, physician assistants, clinical pharmacists, and practices to improve health outcomes for millions of patients, reduce unnecessary hospitalizations, reduce unnecessary testing and procedures, and generate cost savings for all payers.

Power Packs are examples of innovative transformational accomplishments at the practice level. Each Power Pack solves a specific challenge that a practice might face as it begins the process of clinical practice transformation. Power Packs lead by example by demonstrating specific pathways to resolve healthcare delivery challenges. The Power Packs were developed by large membership organizations and CMS to spread practice transformation to clinicians, practices, and partner organizations.

Power Packs are breakthrough examples of practice transformation that:
  • Improve health outcomes for all people
  • Avoid unnecessary use of hospitals and emergency departments
  • Avoid unnecessary tests and procedures
  • Reduce the total cost of care
In addition, Power Packs:
  • Support short- and long-term financial sustainability
  • Improve patient engagement and satisfaction
  • Improve provider joy in work, including employee satisfaction and workforce retention

Power Pack Categories
The SANs Developed Power Packs in six priority topics:

Sustainable Business Operations

Practices are missing strategic financial management infrastructure needed to thrive and transition to value-based payment models. This Power Pack describes how practices can develop the infrastructure to become financially viable and sustainable.

Person and Family Engagement

Patients face difficulties in fully engaging in their care, which negatively impacts health outcomes, practice efficiency, and profitability. These Power Packs describe how practices can address social determinants to improve health outcomes.


Joy in Work and Satisfaction

Clinician burnout results in high levels of stress and dissatisfaction, negatively impacting care. This Power Pack describes how practices address workforce needs that result in improved engagement and job performance.


Understanding Data

Practices are having trouble analyzing and understanding their existing data sources. This Power Pack describes how practices can analyze their data to find inefficiencies and adopt changes that improve health outcomes.


Evidence-Based Care

Many practices receive conflicting information on clinical best-practices. This Power Pack describes how practices are using clinical guidelines to implement evidence-based approaches to care.



The referral and transition process is difficult to navigate, resulting in poor outcomes and inappropriate or unnecessary utilization of services. This Power Pack describes how practices can coordinate care in ways that lead to improved engagement, efficient patient flow, and better health outcomes.

The work presented here was performed under Contract Number HHSM-500-2014-00033I, entitled," Transforming Clinical Practice Initiative: National Development, Management and Improvement," sponsored by the Centers for Medicare & Medicaid Services, Department of Health and Human Services.