On October 24 at the Crown Plaza in Warwick, 400 primary care practice leaders, care team members, stakeholders, and vendors attended the CTC-RI 2019 Annual Conference, "Advancing Integrated Primary Care: Innovations at Work."
Rhode Island is one of 18 regions selected by Centers for Medicare and Medicaid Services (CMS) to participate in the Comprehensive Primary Care Plus (CPC+) innovation project. The CPC+ initiative is an advanced primary care medical home model that offers an innovative payment structure to support delivery of comprehensive primary care.
The Clinical Strategy Committee provides an important multi-payer opportunity for systems of care, providers and health plans to learn from each other on ways to advance primary care in Rhode Island. Below are key topics that were discussed in September and October:
The RI Department of Health (RIDOH) together with Maternal Psychiatry Resource Network and CTC-RI hosted the learning network collaborative meeting for the OB/GYN practices that are participating in the perinatal behavioral health quality improvement initiative (10/19-12/31/2020):
Obstetrics and Gynecology Care Center at Women & Infants Hospital
Adult and pediatric practices met on October 30 to review quarterly clinical quality, utilization performance information and PCMH Kids nurse care manager/care coordinator engagement rates with children and families that are considered to be "at risk."
CTC-RI practices have access to another utilization data point, January to December 2018, in the CTC-RI Practice Reporting Portal (Onpoint Health Data). Medicare Fee for Service (FFS) data is only provided annually and has been included in this update.
In July, CTC-RI and PCMH Kids launched the IBH Rhode Island Foundation Pediatric Initiative which involves having eight pediatric practices implement universal screening for behavioral health areas of focus in pediatric primary care practices.
CTC-RI's goal is to continue to disseminate opportunities for continued learning, and promote ongoing training opportunities. The continued objective is to provide training as needed in areas such as maternal child health, opioid treatment, and community-based resources.
CTC-RI was awarded a grant from UnitedHealthcare to purchase core curriculum licenses for online learning modules to benefit 100 nurse care managers and care coordinators in CTC-RI practices. Eligible practices include those currently or previously in a CTC-RI contract, as well as nurse care managers/care coordinators (NCMs/CCs) that work in systems of care (ACO/AE).
Important updates were shared at the NCM/CC Best Practice Committee meeting including information on the Enhanced Community Health Team Model to assist primary care practices (pediatric/adult/family) with serving individuals and families who are considered at "high" or "rising" h
At the November 14 Quarterly Adult Integrated Behavioral Health (IBH) meeting, practices participating in the Adult IBH learning collaborative, funded by UnitedHealthcare, shared their quality improvement plans for addressing Social Determinants of Health in their practices.
On November 21, CTC-RI hosted a meeting with numerous stakeholders that reflected on the past two years worth of work in supporting Screening, Brief Intervention, and Referral to Treatment (SBIRT). SBIRT is a best practice for the early identification and treatment of alcohol and other substance use disorders.
Patrick Tigue, MPP, EOHHS Assistant Secretary for Health and Medicaid, presented the recently-finalized Medicaid Program Managed Care strategic goals at the November CTC-RI Board of Directors meeting. EOHHS shared its
On November 21, CTC-RI's Dr. Pano Yeracaris gave a lecture entitled, "Population Health Management; high need/high cost patients" to the first year Alpert Brown Medical School students for their Health Systems Science course. Dr.
Haley Bliss, a second year medical student at the Warren Alpert Medical School, is collaborating with CTC-RI to evaluate the Integrated Behavioral Health intervention as part of of her thesis for the Primary Care-Population Medicine (PCPM) master's program.
The PediPRN team is excited to announce the continuation of the PediPRN Intensive Program (PIP) for 2020. PIP was created to meet the need identified by current enrolled pediatric primary care providers for more in-depth training in child mental health topics. PIP is seeking to enroll up to 16 providers from 16 unique practices for the 10 session certificate program.
CTC-RI published an article in Families, Systems, & Health, a peer-reviewed academic journal published by the American Psychological Association on behalf of the Collaborative Family Healthcare Association: Rhode Island’s investmen
Under State Opioid Response (SOR) grant funding, a Family Care Liaison position at Rhode Island Parent Information Network (RIPIN) has been created to serve as a central partner and resource to Community Health Teams (CHT) and PCMH Kids practices.
At the December 12 Integrated Behavioral Health (IBH) Committee meeting, Kathryn Power, the newly appointed chairwoman of the Rhode Island Governor's Council on Behavioral Health, introduced herself and discussed the preliminary plans for the RI Governor's Council on Behavioral Health.
Christopher Ausura, Health Equity Zone Project Manager, presented at the Community Health Team Oversight Committee Meeting on December 6 to discuss enhancing connections between CHTs and Health Equity Zones (HEZs).
Practice facilitators Suzanne Herzberg PhD, OTR/L and Jane Daylor RN, MS facilitated a discussion and provided tools to assist practices with meeting the December 31, 2019 service delivery requirements for developing and implementing compacts with specialists and transition of ca
Congratulations to A to Z Primary Care for achieving Recognition by the National Committee for Quality Assurance (NCQA) as a Patient-Centered Medical Home, an important milestone and commitment to primary care transformation.
Almost 50 members of the CTC-RI community attended the December 13 Quarterly Breakfast of Champions Learning Session. The agenda included a well-deserved congratulations to the 3 graduating CPC+ practices: Ocean State Primary Care of Westerly, Robert A.
As a leader in statewide collaborative initiatives that focus on investments in primary care to build a stronger health care system, CTC-RI's work was recently published as a powerful case study in the "Family, Systems, & Health" Journal by the American Psychological Association.
Rhode Island is one of 26 regions in the country that can participate in Primary Care First, a 5-year alternative payment model designed to reduce Medicare spending by preventing avoidable inpatient hospital admissions and improve quality and access to care, particularly for patients with complex chronic conditions and serious illness.
The Office of the Health Insurance Commissioner (OHIC) posted a Notice of Proposed Rulemaking with respect to 230-RICR-20-30-4: Powers and Duties of the Office of the Health Insurance Commissioner, which includes the Affordability Standards. The rulemaking documents, which have important implications for primary care, are posted on the OHIC and RICR websites.
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.