6|18 Initiative

CDC is partnering with health care purchasers, payers, and providers to improve health and control health care costs. The 6|18 Initiative targets six common and costly health conditions – including high blood pressure - with proven specific interventions to inform partner’s decisions for the greatest health and cost impact.

For more information, visit: The 6/18 Initiative: Accelerating Evidence Into Action

For the evidence document describing three proven specific interventions for high blood pressure, visit: Control High Blood Pressure: Evidence Summary


Health Center Controlled Network (HCCN)

Health Center Controlled Networks are groups of safety net providers (a minimum of three collaborators/members) working together to improve access to care, enhance quality of care and achieve cost efficiency through the redesign of practices to integrate services, optimize patient outcomes, or negotiate managed care contracts on behalf of the participating members. Supported through the Health Center Controlled Network grant program, the networks work collaboratively to

  • Adopt and implement certified electronic health record technology,
  • Meet meaningful use requirements under the Medicare and Medicaid Electronic Health Records Incentive Programs, and
  • Improve clinical and operational quality, reduce health disparities, improve population health through health information technology, and achieve patient centered medical home recognition.

Within the networks, individual health centers work together to share resources, leverage buying power (e.g. discounted software), enhance access to information and promote guidelines on best practices, as well as provide support for achieving quality of care and operational goals. Networks support member health centers in their shared mission to provide comprehensive, culturally competent, quality primary health care services to medically underserved communities and vulnerable populations.

For more information and resources visit: Health Center Controlled Networks (HRSA)


To find a Health Center Controlled Network visit: HRSA Data Warehouse HCCN Fact Sheet from the National Association of Community Health Centers


Million Hearts®

Million Hearts® is a public-private initiative led by CDC and CMS to prevent 1 million heart attacks and strokes in the U.S. over the next five years by focusing the nation on evidence-based community and clinical prevention actions.

Million Hearts® priorities include:

  • Empowering Americans to make healthier choices by preventing tobacco use and limiting sodium and trans fat consumption. This can reduce the number of people who need medical treatment such as blood pressure or cholesterol medications to prevent heart attacks and strokes.
  • Improving care for people who do need treatment by encouraging a targeted focus on the "ABCS" - Aspirin for people at risk, Blood pressure control, Cholesterol management and Smoking cessation - which address the major risk factors for cardiovascular disease and can help to prevent heart attacks and strokes.

For resources and information visit: Million Hearts®


CMS Transforming Clinical Practice Initiative

The Transforming Clinical Practice Initiative is designed to help clinicians achieve large-scale health transformation by supporting more than 140,000 clinician practices over four years in sharing, adapting and further developing their comprehensive quality improvement strategies. The initiative is one part of a strategy advanced by the Affordable Care Act to strengthen the quality of patient care and spend health care dollars more wisely. It aligns with the criteria for innovative models set forth in the Affordable Care Act:

  • Promoting broad payment and practice reform in primary care and specialty care
  • Promoting care coordination between providers of services and suppliers,
  • Establishing community-based health teams to support chronic care management, and
  • Promoting improved quality and reduced cost by developing a collaborative of institutions that support practice transformation.


The Centers for Medicare & Medicaid Services (CMS) launched a second round of funding for the Support and Alignment Networks under the Transforming Clinical Practice Initiative (TCPI) on 6/10/16.

For more information, visit: Transforming Clinical Practice Initiative