Nurse Practitioner Support and Alignment Network (NP SAN)

Helping NPs Transition to Value-based Care

American Association of Nurse Practitioners - Support and Alignment Network

Between 2015 and 2019, the American Association of Nurse Practitioners (AANP) and the National Nurse-Led Care Consortium (NNCC) administered an NP SAN for the Transforming Clinical Practice Initiative (TCPi) — a program supported by the Centers for Medicare & Medicaid Services (CMS). The TCPi was a four-year technical assistance program designed to help clinicians expand their quality improvement capacity, engage in greater peer-to-peer learning and utilize health data to determine gaps and target intervention needs.

The NP SAN promoted nurse practitioner (NP) participation in this historic quality improvement initiative by providing free education, technical assistance and training and access to specialized evidence-based tools. The program concluded in September 2019. NPs can still access the free educational content from this program until May 31, 2021.

On-demand Webinars

Recorded versions of the Lunch n' Learn webinars are available at no cost but no longer include CE credit.

Additional Free Resources

  • AANP CE Center

    CE sessions that align with the TCPI goals and objectives are available in the Transforming Clinical Practice Initiative category in the AANP CE Center. Also available are the following recorded sessions from AANP conferences:

    2019 AANP National Conference

    • Antibiotics Infection & the Evidence: 2019 Update
    • Rev Up Your Coding Skills to Win the Reimbursement Race
    • Clinicians, Patients, & Activation: Improving Health Outcomes & Decreasing Costs in Chronic Disease Deployment of NPs to Combat America's Opioid Crisis
    • Treatment of Hypertension in Older Adults: An Evidence-Based Approach Hypertension: How Low Should You Go?
    • Low Back Pain: Standardizing Primary Care Practice to Eliminate Unnecessary Radiological Imaging in Military Treatment Facilities
    • Marijuana: It's Approved, Now What?
    • Neurological Radiology Indications & Interpretation: What to Order When
    • Protecting Your Practice by Knowing Opioid Prescribing Standards
    • Pharmacology 101: What's New in the World Pharmacology
    • Practice Profits & Loss and Why They Matter to the Employed Nurse Practitioner Reducing Diagnostic Errors in Practice
    • Reimbursement Update for Acute Care
    • Resistant Hypertension: What's a Nurse Practitioner To Do?

    2018 AANP National Conference

    • Take ACTION: Opioid Overdose Prevention Education Training for Nurse Practitioners (0.5 pharmacology)
    • Primary Care Screening and Diagnosis of Pediatric Anxiety and Depression (0.5 pharmacology)
    • Managing Depression and Anxiety in Primary Care: Evidence-based Mental Health Concerns
    • Advanced Spinal Imaging: MRI or Not to MRI
    • Delirium Superimposed Upon Dementia: High Index of Suspicion!
    • Psychiatry for Non-psychiatrists: Psychopharmacology in Primary Care (0.67 pharmacology)
    • Achieving Peak Performance in Risk Adjustment Coding
    • Opioid Prescribers: Avoiding Practice Breakdown and Disciplinary Action (1.0 pharmacology)
    • Antibiotics, Infection and the Evidence: Update 2018 (1.0 pharmacology)
    • Screening Adolescents for Risk of Suicide in Primary Care Settings
    • Reality Check: Are You Evidence Based When Prescribing Psychotropic Drugs for Your Older Patients? (1.0 pharmacology)
    • Neurological Radiology Indications and Interpretation: What to Order When
    • Profits, Costs and RVUs: Business Metrics 101 for the Nurse Practitioner
    • Where Practice Meets Business: How to Create a Compelling Business Case
    • Reducing Diagnostic Errors in Practice: A Call to Action for Nurse Practitioners
    • Understanding Business and Legal Implications for NP Practice

    2017 AANP National Conference

    • A Patient-centered Approach to Lipid Management
    • Medication Management for Older Adults
    • ICD-10 Documentation and Coding Primer for Primary Care
    • Reimbursement for NPs in Acute Care/How Value Based Management of Medicare Patients Translates Into Large Scale Cost Savings/Getting Into the Practice of Business: A Brief Guide to Starting a NP-led Clinic
    • LGBTQi2: What is an NP to Do? Caring for Patients With Cultural Humility
    • Assessing for Suicidal Adolescents in a Primary Care Setting
    • Best Practices in Obesity Management
    • Evidenced-based Child and Adolescent Mental Health Screening, Brief Intervention and Management in Primary Care
    • Useful Tools for Promoting Behavior Change and Self-management in Diabetes and Prediabetes
    • Update on the Diagnosis and Management of Resistant Hypertension

    2017 AANP Specialty and Leadership Conference

    • Nutrition: The Function of Food and Its role in Obesity Management
    • The Role of the Nurse Practitioner in Telehealth
    • Competency Development and Leadership in Practice
    • Neuropathic Pain: Pathophysiology, Diagnosis and Treatment of Common Conditions
    • Workload, Quality, Burnout: Improving the Lives of Patients and Providers Through Interprofessional Practice
    • Adolescent Substance Abuse: How to Recognize, Screen and Treat the Minor Patient

    Visit the CE Center

  • 2019 MIPS Estimator

    2019 MIPS Estimator: Use the free Stratis Health MIPS Estimator to determine which measures and data submission methods give you the highest baseline Merit-based Incentive Payment System (MIPS) composite score. Then, make workflow changes to improve patient outcomes and work towards improving your MIPS score to achieve the highest possible reimbursement.

  • MACRA Quality Payment Program

    MACRA initiated the transition from fee-for-service to a quality-based Medicare reimbursement structure. AANP has covered with the news and tools you need to successfully navigate this transition.

    Learn More

  • Quality Payment Program Assistance for Small Practices

    CMS recently awarded $20 million to 11 organizations for the first year of a five-year program to provide on-the-ground training and education about the Quality Payment Program for clinicians in individual or small group practices of 15 clinicians or fewer. NPs and clinicians who have not been successfully referred to a Practice Transformation Network (PTN) after enrolling in NP SAN can look forward to accessing this new program.

    Clinicians will receive help choosing and reporting on quality measures, as well as guidance with all aspects of the program, including supporting change management and strategic planning and assessing and optimizing health information technology. As part of that outreach effort, CMS also launched a new telephone helpline for clinicians seeking assistance with the Quality Payment Program. Clinicians may contact the Quality Payment Program by calling 1-866-288-8292 from 8 a.m.–8 p.m. ET or by emailing