Innovative Care Delivery   ICD    Practice Transformation

What is Practice Transformation?

Practice transformation (transformation) is a process involving continuous evaluation and evolution of organizational tools and processes with a goal to advance quality improvement and patient-centered care.  Transformation helps practices adapt to an evolving reimbursement environment focused on value.

Care Transformation Organizations

Care Transformation Organizations (CTOs) are recognized by the Centers for Medicare & Medicaid Services (CMS) under the Maryland Primary Care Program (MDPCP) to assist practices with transformation efforts. CTOs provide an array of innovative care delivery support services to practices, including care coordination, care transitions, standardized beneficiary screening, and data tools and informatics. Approximately 26 CTOs participate in the MDPCP. More information about the MDPCP is available here

Demonstration Project: Advancing Practice Transformation in Ambulatory Practices

In June 2021, MHCC competitively awarded MedChi Care Transformation Organization (MedChi CTO) a grant to engage Maryland-based ambulatory practices (practices) to complete select practice transformation milestones (milestones). The milestones include assessing practice readiness for transformation, redesigning workflows, and guiding practices through the completion of the Transforming Clinical Practice Initiative (TCPI) Seven Support Change Package Modules (modules). Implementation of the TCPI modules provide practices with techniques that help improve patient health outcomes.  

Approximately 87 practices completed program milestones.  Information about the TCPI modules is available here.

Questions about the grant can be sent to mhcc.grants@maryland.gov.

Additional Resources

Navigating the Practice Transformation Process:  Tips for Practice Success

Guidance to help prepare or advance participation in alternative payment models, including steps practices can take to achieve practice transformation

Overview Presentation – Advancing Practice Transformation in Ambulatory Practices 

Background on MHCC grant opportunity, program objectives, and transformation milestones   

TCPI Change Package

Outlines tangible steps to guide transformation efforts and meet TCPI training milestone goals 

Support and Alignment Network Power Packs

Illustrates specific pathways to resolve challenges that practices may encounter in the process of transforming 

Transforming Clinical Practice Initiative - Results from Maryland Practices in the Garden Practice Transformation Network

Highlights transformation progress of Maryland practices that participated in the Garden Practice Transformation Network 


Last Updated: 8/18/2025