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Washington State Medical Home / Health Care Transformation Activities

Formal medical home efforts in Washington have expanded in the past several years from an initial focus on improving care for children with special health care needs to improving care for everyone of all ages and abilities.

The Transforming Clinical Practice Initiative is a national effort by the Centers for Medicare and Medicaid Services (CMS) to engage 140,000 clinicians in transformation of their practices to prepare for value-based payment and improve outcomes for their patients. Twenty-nine Practice Transformation Networks (PTN) were selected by CMS to be the agents of change in their regions.  See map here.

Washington is fortunate to have four PTNs funded in our state. The University of Washington, the Rural Health Accountable Care Consortium and PeaceHealth PTNs are actively recruiting and engaging adult and family care providers. P-TCPI is the only initiative in Washington state dedicated to supporting pediatric providers and improving child health.

Pediatric Transforming Clinical Practice Initiative (P-TCPI)

P-TCPI, is uniquely focused on improving child health. In fact, we are one of only two pediatric focused PTNs in the country. We offer support to primary care clinicians in transforming their practices and improving population health. Behavioral health providers and specialty medical and licensed health care providers can also enroll.


  • Increase well child visits
  • Increase immunization rates
  • Improve behavioral health
  • Improve asthma management
  • Decrease avoidable use of the emergency room
  • Increase care coordination

Nine regions or Accountable Communities of Health (ACH) in Washington state each have a P-TCPI team on the ground to support practice transformation. Each team includes a Practice Facilitator, a Physician Champion (who is a local, practicing primary care provider)  a Behavioral Health Champion from a community mental health center, and a public health nurse Regional Care Facilitator.

More about P-TCPI and enrollment  or contact Melissa Thoemke, P-TCPI Program Manager

Healthier Washington – Transforming Health Care in Washington State

  • Healthier Washington will transform health care in Washington State so that people experience better health during their lives, receive better care when they need it, and care is more affordable and accessible. We are in the early stages of a five-year Health Care Innovation Plan that has brought together hundreds of people from many communities to put the best solutions to work for the people of our state. This work will improve the quality of life for everyone regardless of their income, education or background.
  • The state Health Care Innovation Plan is supported by foundational legislation signed by Governor Jay Inslee in 2014 and a federal grant from the Center for Medicare and Medicaid Innovation.The Healthier Washington initiative will:
    • Build healthier communities and people through prevention and early attention to disease
    • Integrate care and social supports for individuals who have both behavioral and physical health needs
    • Reward quality health care over quantity, with state government leading by example as Washington’s largest purchaser of health care
  • Innovation Plan Documents: (From one page summary to full plan)
  • To receive regular updates on Healthier Washington, sign up to join the Feedback Network and follow Facebook for news and links to our social media announcements.

National Summaries of Washington State Activities



Medical Home and Health Care Transformation information developed or last updated ….