Power Packs

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.

Power Packs:

Care Coordination

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.

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.

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.

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.

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.

Telling a Story of Success

Telling a compelling story of success is key to demonstrating the value a practice offers to private and public payers. This Power Pack provides guidance for practices to think about how they can effectively describe the impacts of their practice transformation work through compelling stories.

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.


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 

TCPi established Support and Alignment Networks (SAN) to spread practice transformation to clinicians, practices, and partner organizations. The Power Packs were developed by the 10 SANs. 


The Network for Regional Healthcare Improvement (NRHI) was selected by the Centers for Medicare and Medicaid Innovation (CMMI) as one of 10 Support and Alignment Networks along with:

For additional information on the SAN organizations, click here.

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.