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Who we are and what we do

 
The Care Transformation Collaborative of Rhode Island (CTC-RI) is working with all major health care stakeholders to transform primary care in our state. Convened by the Office of the Health Insurance Commissioner and the Executive Office of Health and Human Services, we promote the patient-centered medical home, a model of primary care that provides patients and families with care that is accessible, focused on their needs, supported by a primary care team and coordinated with the medical neighborhood.
 
We provide technical assistance and training to promote integrated, patient- and family-centered care, data- driven quality improvement, and prepare practices to perform successfully under alternative payment models (APMs). As a statewide learning collaborative, we facilitate the sharing of best practices in primary care, integration with specialists / health systems and provide a platform for testing and evaluating new models that improve population health. We strive to align our primary care program with state, federal and public/private initiatives and inform health care system transformation.
 
Using a personal hands-on approach, we can assist you with developing a customized action plan designed to meet your strategic objectives by offering the following integrated behavioral health services.

Care Transformation Collaborative of Rhode Island’s integrated behavioral health services include:

  • Practice facilitation with seasoned content experts to integrate behavioral health care into primary care, including needs assessment, goal attainment and outcomes measurement that is evidence-based.
  • Workflow and operational improvements to integrate behavioral health care into primary care needs.
  • Joint staff trainings for primary care and behavioral health / substance use staff (front desk / reception, medical assistants, nursing, medical providers, behavioral health providers, and community health workers) to increase communication and care coordination for patients needing integrated behavioral health / substance use services.
  • Strategies to improve referral management between Specialty Mental Health and Primary Care.
  • Interactive team training on complex topics such as group visits, registry building and management, billing and coding guidance.
  • Tools available - Return on Investment Financial models, Billing & Coding guidelines, scheduling templates, checklists, etc.
  • Project management support for convening Learning Collaboratives with speakers and topics central to integrated behavioral health / substance use in primary car
  • Implementation of SBIRT (Screening, Brief Interventions, and Referral to Treatment) in various clinical and community-based settings.
  • Implementation of Community Health Teams for high-risk patients.

 

Practices and systems of care interested in implementing integrated behavioral health, with Dr. Nelly Burdette serving as CTC's Senior IBH leader, should contact ctcibh@ctc-ri.org.

Our Mission

The mission of the Care Transformation Collaborative is to lead the transformation of primary care in Rhode Island in the context of an integrated health care system; and to improve the quality of care, the patient experience of care, the affordability of care, and the health of the populations we serve.