New Save the Date! CTC-RI Annual Conference on May 27, 2021 

Based on social distancing concerns, CTC-RI has decided to change the date of the Annual Conference to May 27, 2021. This conference, Investing in Primary Care: Learning in Action, will focus on identifying, developing, and utilizing strategies to advance integrated primary care and improve patient and family outcomes. Ann Greiner, President and CEO of Primary Care Collaborative will be the keynote speaker. Other presenters include primary care leaders from other states along with local best practice experts who will help inform clinical teams about policy, payment mechanisms, and clinical innovations that have improved population health and primary care. More details to come.

October 24, 7:30am-3:45pm | CTC-RI Annual Conference: Advancing Integrated Primary Care: Innovations at Work 

Keynote Speaker Bios: Somava Saha, MD and Paul Woods, MD

7:30–9:15 Morning Session:

• 7:30–7:40 Welcome—Innovations at Work: Care Transformation Collaborative Perspective, Debra Hurwitz, MBA, BSN, RN Executive Director, CTC-RI
• 7:40-7:50 Innovations at Work: Rhode Island Office of the Health Insurance  Commissioner Perspective, Marie L. Ganim, PhD, MPA Commissioner, OHIC
• 7:50-8:00 Innovations at Work: Working with Community: Rhode Island Department of Health Perspective, Nicole E. Alexander-Scott, MD, MPH, Rhode Island Department of Health
• 8:00–9:15 Supporting Population Health Through Team-Based Practice Re-Design and Broad Community Partnerships, Somava Saha, MD, MS & Paul Woods, MD, MS, CCFP
   
• Recording of Introduction and Keynote Speakers

9:30–10:30 Concurrent Breakout Sessions I:

• Innovations in Primary Care Integrated Psychiatry- Rotunda, Nelly Burdette, PsyD & Jonathan Kole, MD, MBe
• Innovations in Working with Specialists: High Value Care Coordination- Salon I & II, M. Carol Greenlee, MD, FACP, FACE
• Pathways to Population Health  - Salon IV & V, Somava Saha, MD, MS  (Handouts)
• Innovations in Pediatric Care and Payment: Family-Based Recovery Care - Salon III, Suzanne C. Brundage, MSc  Listen to Recording Here!

10:30–11:30 Concurrent Breakout Sessions II 

• Pharmacy Innovations: Pharmacy and  Collaborative Care Agreements  - Salon I & II, Jeffrey Bratberg, PharmD, FAPhA & Christopher Durigan, PharmD, BCPS, CDOE & Linda J. Rowe-Varone, PharmD, BCPP
• Primary Care Practice Re-Design- Salon IV & V, Paul Woods, MD, MS, CCFP
• Community Innovations: Partners—Large-Scale Screening for Social Determinants of Health  and Referral to Community- Rotunda, Kristy Helscel, MPH & Luciana Petcu & Kerry E. McBride Winrow
• Innovations in Pediatric Care: Recovery-Friendly Pediatric Practice—NH Model- Salon III, Steven H. Chapman, MD & Holly Gaspar, MEd, MPH (Handouts)   Listen to Recording Here!

11:50–12:50 pm Concurrent Breakout Sessions III

• Practice Innovations: Annual Wellness Visits- Salon I & II, Claire M. Haynes, BSN, RN & Susan Whittaker, CPC, CPMA
• Innovations in Leadership: Practical  Interventions to Improve Clinician Well-Being- Rotunda, Nicolas S. Nguyen, MD   
• Innovations in Primary Care Payment: Capitation - Salon III, Michael W. Cropp, MD, MBA & Fuad Sheriff, MD, FACP   Listen to Recording Here!
• Innovations in Care: Assessing and Treating  Anxiety in Pediatric Population- Salon IV & V, Hannah E. Frank, MA & Jennifer B. Freeman, PhD

1:40–2:40 Concurrent Breakout Sessions IV

• Innovations in Community: Acute Care at  Home Model—Partnering with Paramedics - Salon I & II, Ruth E. Scott, RN, MHA, CCM & Ana Tuya Fulton, MD, FACP, AGSF  
• RI's Statewide Health Information Technology Strategic Roadmap and Implementation Plan- Rotunda, Amy Zimmerman, MPH & Melissa Lauer, MPA  
• Children and Recovering Mothers:  A Collaborative Approach - Salon III, Shara O. Tarule, APRN & Susan Albertini White, MS, FNP-BC  Listen to Recording Here!

2:40–3:40 Concurrent Breakout Sessions V 

• Re-Defining the Recovery—What Matters Most - Salon I & II, Catherine Alexander, DNP, MPH RN & Michael Beauregard &  Francine E. Knowles, APRN, CNS, MSN & Lisa McManaman, RN (Handouts)
• Innovations in Using HIE to Assist with Transitions of Care - Rotunda, Jennifer C. Cormier, MEd, RN & Margaret M. Menna, MBA
• Innovations in Care: CODAC and Pain Solutions- Salon III, Frank R. Sparadeo, PhD &  Laura Levine, LMHC, LCDCS, LCDP CAGS  Listen to Recording Here!
• Introduction to Conscious Discipline for Families and Caregivers- Salon IV & V, Alicia N. Ead, BS, CCHW & Cristen D. Sassi, M.Ed., OTR/L

 This session qualifies CME Credit in Opioid Pain Management/Chronic Pain Management, one of the required areas of section 6.0; 6.2.1 RI CME re-licensure.

Speaker Reimbursement Forms - Excel, PDF, W9

Summary Evaluation

September 13, 7:30am-9:00am | CTC-RI Breakfast of Champions

September 27, 7:30am-11:30am | Integrating Medication-Assisted Treatment and Primary Care Summit

May 10, 7:30am-9:00am | CTC-RI Breakfast of Champions

Agenda

• CTC-RI Clinician Well-Being Survey Results 2019, Pano Yeracaris, MD, MPH, CTC-RI Chief Clinical Strategist
• Combating Clinician Burnout with Community-Building, Evolution of Clinician Experience, Nicolas S. Nguyen, MD, Senior Medical Director Clinician Recruitment, Development, and Experience, Beth Israel Deaconess HealthCare Clinical Instructor Harvard Medical School 
• Teamwork 101: Core Skills for Effective Collaboration, Quick overview for high-functioning teams in clinical setting, Co-author of Healthcare Teamwork: Interprofessional Practice and Education, Phillip G. Clark, PhD, Professor and Director, Program in Gerontology and RI Geriatric Education Center, University of Rhode Island

February 8, 7:30am-9:00am | CTC-RI Breakfast of Champions

Agenda and Presentations

• "Making Sense of the Madness":  Focused discussions on social determinant of health screening and primary care specialist relationships. Which activities are best done through systems of care and which need to be done at the practice level, Andrew Saal MD MPH, Chief Medical Officer, Providence Community Health and Andrea Galgay, MBA, Director, ACO Development, RIPCPC
• Efforts to Improve Technology and Data Flow to Impact Care:  Seeking feedback on roadblocks and which actions we can take together to meet common goals, Kim Paull, MPH, Director, RI EOHHS Data and Analytics

November 1, 7:30am-3:30pm | CTC-RI Annual Conference

7:30–9:15 Morning Session:

• 7:30–7:40 Building Capacity for Better Care, Lower Costs: Care Transformation Collaborative Perspective, Debra Hurwitz, MBA, BSN, RN Executive Director, CTC-RI
• 7:40-7:50 Building Capacity: Better Care Lower Cost: Rhode Island Office of the Health Insurance Commissioner Perspective, Marie L. Ganim, PhD, MPA Commissioner, OHIC
• 7:50-8:00 Better Care Lower Cost: State Innovation Model Perspective, Marti Rosenberg, MA Project Director, SIM Test Grant
• 8:00–9:15 What Patients Want, Randi Redmond Oster, MBA
   
• Recording for Welcome, Building Capacity, and Better Care Lower Cost
• Recording for What Patients Want, Randi Redmond Oster, MBA

9:30–10:25 Concurrent Breakout Sessions I:

• Building Integrated Behavioral Health Capacity: Partnering with Psychiatry - Salon I & II, Mary Jean Mork, MSW
• Better Care: Providing What Patients Want I Handout Adult & Handout Kids - RotundaΦ, Randi Redmond Oster, MBA
• Not Your Mama's Care Team: Innovative Approaches to Patient Centered Care - Salon IV & V, Eilidh Pederson, MPH
• The First 1,000 Days: How New York State Medicaid is Investing in Early Childhood Development PPT & Recording - Salon III, Kate Breslin, MPH, MCRP Suzanne C. Brundage, MSc 
   

10:25–11:20 Concurrent Breakout Sessions II 

• Building Team Capacity: Utilizing Provider/RN Co-Visits, Pharmacy Technicians, & Patient Navigators PPT1, PPT2,  PPT3, & Handout - Salon I & II, Wendy A. Chicoine, MSN, RN & Tara Higgins, PharmD, CDOE & Sarah Thompson, PharmD, CDOE
• Better Care: Providing What Patients Want II Handout Adult & Handout Kids - RotundaΦ, Randi Redmond Oster, MBA
• A Community Approach to Women's Health PPT, Handout & Recording - Salon III, Jodi B. Stack, MSN, BBA, RN
• Recognizing and Managing Patients with Trauma in the Primary Care Setting - Salon IV & V, Adam Pallant, MD, PhD & Elliot M. Ruggles, LCSW, PhD

11:35–12:30 pm Concurrent Breakout Sessions III

• Financial Incentives and the Delivery of Low- and High-Value Care - Salon I & II, Orestis Panagiotou, MD, PhD
• Building Capacity for Goals of Care - Conversations in Serious Illness PPT and Handout - Rotunda⌂, Jennifer M. Ritzau, MD & Maria Aileen Soriano-Pisaturo, MD
• Better Care and Lower Costs: Partnering in the Community to Meet Health Related Social Needs PPT1 & PPT2 - Salon IV & V, Jeannine Casselman, JD, MA Michael Fine, MD Scott Hewitt, MA
• Partnering with Schools: Suicide Prevention Program: Working with Schools and Primary Care PPT & Recording - Salon III, Jeffrey Hill, MS & Jennifer W. Jencks, PhD

1:30–2:30 Concurrent Breakout Sessions IV

• Using Information to Improve Care: Neighborhood Risk Scores and Payment PPT1 & PPT2 - Salon I & II⌂, Arlene S. Ash, PhD & Elaine Fontaine, BS
• Better Care: Providing What Patients Want I Handout Adult & Handout Kids - RotundaΦ Randi Redmond Oster, MBA
• Using the Rhode Island Medical Home Portal for High Risk Children and Families - Salon IV & V⌂, Kathleen N. Kuiper, BS

2:30–3:30 Concurrent Breakout Sessions V 

• Using a Health Information Exchange for Advance Care Planning and Assessing Patient Social Determinants of Health - Salon I & II⌂, Scott W. Young, MS, BS
• Better Care: Providing What Patients Want II Handout Adult & Handout Kids - RotundaΦ, Randi Redmond Oster, MBA
• Insights Into Your Patient Population From KIDSNET - Salon IV & V, Ellen Amore, MS
   

⌂ This session qualifies CME Credit in Risk Management or End of Life/Palliative Care, two of the required areas of section 6.0; 6.2.1 RI CME re-licensure requirements.
Φ Attendees registering for this session need to sign up for Sessions I and II.

Expense Reimbursement Forms - Excel, PDF, W9

Vendor FAQ

Conference Evaluation Summary

September 14, 7:30am-9:30am | CTC Quarterly Champion Learning Session

CTC hosted another ‘Breakfast of Champions’ session on September 14 at the Shriners Imperial Room in Cranston with almost 60 participants. Pano Yeracaris, MD MPH led with a CTC program update on the integrated behavioral health qualitative evaluation and preliminary data from the All-Payer Claims Database (APCD). Matthew Salisbury, MD of CharterCARE Medical Associates, Pontiac Avenue office presented on their work with embedding the scribe function within the care team. Wrapping up the morning presentations, Jeannine Casselman of Medical-Legal Partnership Boston (MLPB) gave a talk on team-based social determinants of health (SDOH) care.

Please provide your feedback to the meeting via the Survey Monkey link:  https://www.surveymonkey.com/r/NPS8ZG5

Agenda & Presentations:

Agenda

CTC program update on IBH Qualitative Evaluation and All-Payer Claims Database (APCD)

Matthew Salisbury, MD, CharterCARE Medical Associates, Pontiac Avenue office on  scribe function within the care team

Jeannine Casselman, Medical-Legal Partnership Boston (MLPB) on team-based social determinants of health (SDOH) care

March 29, 7:30am-9:30am| State of Primary Care in Rhode Island Panel Discussion
Sponsored by Care Transformation Collaborative of Rhode Island (CTC-RI), the Office of the Health Insurance Commissioner (OHIC), and the Executive Office of Health and Human Services (EOHHS), health care leaders -- within our CTC-RI community -- will explore key advancements that our state has made in primary care, and ways we can continue to advance our delivery system.

Presentation Slides:

State of Primary Care

Panel Discussion

Post-Event Survey Results

February 9, 7:30am-9:00am| CTC Quarterly Champion Learning Session

January 4, 9:00am-10:30am | Rhode Island KIDS COUNT Issue Brief event, "Maternal Depression in Rhode Island: Two Generations at Risk"
January 15, 6:00 pm (doors open), 7:00pm start | "Owning Our Story" About the Overdose Epidemic
January 25, 5:00pm-8:15pm | Dealing with the Difficult Patient: Everything a Clinician Needs to Know

December 6, 4:00pm-7:00pm| Rhode Island College Population Health Symposium
December 12, 7:30am-8:45am| Maternal and Child Health Collaborative Offices Rounds (COR)
December 14, 4:00pm-5:00pm| Screening for Falls: OT and PT Perspectives Prevention is the Best Medicine

November 7, 7:30am-3:30pm | Annual CTC-RI Learning Collaborative

Morning Agenda
Time:                    Session:                                                                                         
7:00-7:30             Registration
7:30-7:45             Welcome: Advancing Improving Population Health: Care Transformation Collaborative Perspective by
                             Debra Hurwitz, MBA, BSN, RN Executive Director of CTC-RI
7:45-8:00            How Public Policy Supports Primary Care by Marie L. Ganim, PhD, MPA Commissioner, OHIC
7:45-8:00            15 Minute Healer by Pable Rodriguez, MD      
8:00-9:15            Strenghening Team Based Care by Peter B. Anderson, MD and Stephen E.  Moberg, BBA-MIS                                          
9:15-9:30            Break
9:30-10:25          Break Out Session I
                            1. Assisting Patient Populations with Addition Needs by Amber Hewitt, PsyD and Stephen A. Martin, MD, EdM
                            2. Providing Team Based Care: Barriers and Solutions by Peter B. Anderson, MD and Stephen E. Moberg, BBA-MIS               
                            3. Patient Activation: Choosing Wisely in Primary Care by Timothy J. Lynch                           
                            4. Pediatric Care: Strategies to Assist Adolescents with SUD by Susan J. Duffy, MD, MPH and
                                Chris Dorval, MSW, LCSW, LCDCS, LCDP, ICADC           
10:25-11:20       Break Out Session II        
                           1. Proving MAT in Primary Care by Robert S. Crausman, MD, MMS and John Machata, MD                             
                           2. Complex Care Management: Understanding Patient Needs and Reducing ED Utilization by Cyndi Nassivera Reynolds,
                                Karen L. Ashline, MA, and Brenda M. Stiles, RN, BSN, PCMH, CCE            
                           3. Patient Activation: Ask the Right Questions by Luz Santana, MA and Carol W. Robey, MD                
                           4. Pediatric Care: Pediatric Medical Neighborhood: Moderated by Elizabeth B. Lange, MD with a panel by
                               Holly L. Ayotte, BS, Diane Kowal, MA, BSN, CSNT, NCSN, and Deborah Masland, BA      
11:20-11:35       Break
11:35-12:30       Breakout Session III
                           1. Providing MAT in Primary Care by Coleen LaBelle, MSN, RN-BC, CARN                                      
                           2. Care Plan: Using the Team and The Patient  by Amberly Ticotsky, RN, BSN, MPH                 
                           3. Chronic Care Management:Pediatric-Adult Assisting Patients With Asthma and Anxiety by Nelly Burdette, PsyD
12:30-1:30          Lunch and Resource Round Tables

Afternoon Agenda
Time:               Session:                                                                     
1:30-3:00         Breakout Session IV
                         1. Leveraging Technology to Manage And Improve Population Health  by Jatin Gupta        
                         2. Using Health Plan Cost Estimator Tools  to Assist Patients and Practices with Self-Decision Making by John Auger, BS and 
                             Merry Pearlman, BA from Blue Cross Blue Shield of RI and Bethany Wingren, MA from United Healthcare                       
1:30-3:30        3. Training of Use of All Payer Claims Data Base by Chad MacLeod, BA and David Jorgensen, MS

Additional Information
Speaker Bios
Cambridge Health Alliance Handout: Living a Happy, Healthy Life
Pediatric-Adult Assisting Patients With Asthma and Anxiety:

• https://wa-health.kaiserpermanente.org/best-meditation-apps/
• http://mindfulnessforteens.com/resources/resources-for-mindfulness/
• Recommendation for an app that for children: Breathe, Think, Do with Sesame Street which is Free and available in Spanish/English and Stop, Breathe and Think

Pediatric Medical Neighborhood References:

• http://www.health.ri.gov/forms/school/Physical.pdf
• http://www.health.ri.gov/publications/actionplans/2012Asthma.pdf
• https://www.foodallergy.org/sites/default/files/migrated-files/file/emergency-care-plan.pdf
• http://www.health.ri.gov/forms/school/PhysicianOrdersForStudentsWithDiabetes.pdf

September 29, 7:15am-3:45pm | Save the Date: 2017 CDOE Annual Symposium 

June 22, 6:00pm-8:00pm | TCPI Learning Series
June 29, 11:00am-12:00pm | Geriatric Education Series: Webinar: Diseases that Lead to Dementia: A Review with an Update on Potential New Therapies

April 1, 7:00am-4:15pm | 5th Annual New England Sports & Orthopedic Rehabilitation Summit (Brown CME)

March 4, 7:30am-5:00pm | Trangender Health Conference 2017 (Brown CME)
March 17-19 | The Patient, the Practitioner, and the Computer: Holding on to the Core of Our Healing Professions in a Time of Technological Change (Brown CME)

February 1, 4:00pm-4:30pm | Treatment Across the Lifespan for Persons with a Fetal Alcohol Spectrum Disorders

January 24, 12:00pm-1:00pm | Webinar: Crossing the Medication Safety Chasm with the Prescription Drug Monitoring Program
January 25, 4:00pm-4:30pm | Free Webinar: Neurobehavioral Disorder associated with Prenatal Alcholo Exposure (ND-PAE)

Webinar now availabile: RI Geriatric Education Center Education Series
Click here for more information.

December 8, 8:30am-4:30pm | 2016 Health Equity Summit Health Equity in Action: Justice and Health For All
December 9, 7:30am-9:30am | Clinical Practice Champion Quarterly Learning Session 
December 13, 8:30am-4:00pm | Opioid Prevention & Treatment in the Primary Care Setting (Summit)

November 2, 5:30pm-7:00pm |  RI Association of Certified Asthma Educators Annual Meeting 
November 3, 5:30pm | Alzheimer's Association's Brian R. Ott M.D. Annual Research Symposium
November 4, 8:00am-3:00pm | RI Minority Elder Task Force Cultural Competency Conference for Caregivers
November 9, 1:00pm-2:00pm | Webinar: Care Planning for Children with Special Health Care Needs
November 12, 8:00am-12:00pm | Neurology Update: Dementia and Multiple Sclerosis
November 14, 11:30am-1:30pm |  Rhode Island World Diabetes Day at State House 
November 17 | Brown CME event: Vector Borne Emerging Infectious Diseases 
November 19, 8:00am-5:00 pm | Brown Orthopedics Symposium Pediatric & Adolescent Sports Medicine
Nov. 30 + Dec. 1, 8:30am -5:00 pm | Diabetes Prevention Program Lifestyle Coach Training
November 30, 5:00pm-7:00pm | Chasing the Dragon: The Life of an Opiate Addict screening presented by BCBSRI

For LLC

Track Form

Needs Assessment

SIM Report