Nurse Practitioner Support and Alignment Network (NP SAN)

Helping NPs Transition to Value-based Care

American Association of Nurse Practitioners - Support and Alignment Network

AANP and the National Nurse-Led Care Consortium (NNCC) are administering an NP SAN for the Transforming Clinical Practice Initiative (TCPi)—a new program supported by the Centers for Medicare & Medicaid Services (CMS). CMS offers several technical assistance programs to help clinicians successfully participate in one of the two payment tracks under the Quality Payment Program (QPP).

The TCPi is 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 promotes NP participation in this historic quality improvement initiative by providing free education, technical assistance and training and access to specialized evidenced-based tools. NPs in either nurse-led or physician-led health care settings are eligible to receive these program benefits. Restrictions apply.

Stay Informed

Always be the first to know about upcoming CE and training opportunities. Join the community by subscribing to the NP SAN newsletter, a monthly NP-focused educational update from the NNCC.

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Upcoming Live Webinars

The NP SAN hosts live webinars, also called Lunch n' Learns, on topics related to patient- and family-centered care, data-driven quality improvement and sustainable business operations. Each live webinar provides you with 45 minutes of lecture and 15 minutes of active question and answer discussion.

  • NP SAN Member Survey Results: Your Voice Heard and Next Steps (October 23 at 12 p.m. ET)

    No charge to attend


    • Summarize the results of the NP SAN membership survey and use data to help illustrate knowledge gaps to transition to value-based purchasing (VBP) models of care.
    • Prepare a plan for next steps to transition to VBP models of care within clinical settings.
    • Identify resources to support transforming clinical practice and ways to use those resources to start the conversation with C-suite executives or management.


    Kelly Feighan, PhD, Director of Teaching and Learning Unit at Research and Evaluation Group.

    Jillian Bird, RN, Nurse Training Manager at the National Nurse-Led Care Consortium.

    Register Today

On-demand Webinars

Recorded versions of the live Lunch n' Learn webinars, these on-demand webinars are also 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:

    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

  • 2017 MIPS Estimator

    2017 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 in 2017.

  • 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

  • Educational Tools

    The TCPI Change Package describes the changes needed to transform clinical practice and meet TCPI goals. The driver diagram shows the relationships among goals, the primary drivers that contribute to achieving those goals and the subsequent factors that are necessary to achieve the primary drivers. The change package is a compilation of the interventions developed and tested by others.

Still Have Questions?

What do all the acronyms mean? Why should I get involved in the TCPI? Get answers to common questions about NP SAN, practice transformation and value-based care.

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