MidSouth Practice Transformation Network

Transforming Clinical Practice Initiative


The Transforming Clinical Practice Initiative was designed by CMS to help clinicians achieve large-scale health transformation. The initiative was designed to support more than 140,000 clinician practices over the past four years in sharing, adapting and further developing their comprehensive quality improvement strategies. Practice transformation networks were formed throughout the United States. Each network has worked for the past four years to achieve the seven aims of TCPI. We are the MidSouth Practice Transformation Network.


  • MidSouth PTN successfully enrolled 109% of our target of 4,050 clinicians. 
  • During TCPI, the MidSouth PTN enrolled over 140 practices across Tennessee, Mississippi, Kentucky, and Arkansas.

Updated Aim 2

  • MidSouth PTN achieved 267% of their target for improving health outcomes for Medicare, Medicaid and CHIP beneficiaries and other patients.

Updated Aim 3

  •  “71% percent of emergency department visits could have been treated safely in an urgent care clinic or primary care setting, or did not require urgent care, according to a 2013 study by Truven Health Analytics.” – Encounter Telehealth
  • MidSouth PTN has avoided an estimated 19,000 unnecessary hospitalizations*, meeting 81% of our target. *avoidable ED visits, inpatient hospitalizations, and readmissions
  • For example, Gastro One, a MidSouth PTN practice, reduced their ED visits for Crohn’s and ulcerative colitis patients by 7.5%. They developed a partnership with a local hospital system and now receive daily reports on their patients who have been seen in the ED


  • MidSouth PTN far exceeded our target, reducing an estimated 17,000 unnecessary tests and procedures, representing 1379% of our target.
  • For example, cutting back on unnecessary Vitamin D screenings could help to significantly reduce unneeded blood tests.
  • For example, Meharry Medical Group, a MidSouth PTN practice, reduced unnecessary vitamin D screenings by over 30% during their time with TCPi.


  • MidSouth PTN surpassed their target by transitioning 89% of our total TCPI enrolled clinicians into APMs. 
  • Vanderbilt Medical Group, for example, graduated into a Medicare Shared Savings Program after just 21 months in TCPI.


  • MidSouth PTN has transformed 64% of our practices beyond phase 3 on the TCPI Practice Assessment Tool.

Quality Payment Program

Learn more about what the quality payment program (QPP) means for your practice: https://qpp.cms.gov/