Best Practices in Team-Based Care

Charge: Best practice sharing amongst CTC NCMs and Care Coordinators

(Recommended attendees: nurse care managers, care coordinators)

Resources

• December 2022 - Incontinence in Older Adults

• November 2022 - Best Practices in Lead Screening
  • Recording
  • Presentation
  • Evaluation
  • Childhood Lead Poisoning Prevention Program Overview of Referral Intervention Process (ri.gov)
  • Childhood Lead Poisoning Prevention Program Referral Intervention Process (ri.gov)
  • Understanding Your Child’s Lead Screening (ri.gov)

• October 2022 - Improving Hypertension Patient Care: a Team-Based Approach

  • Recording
  • Presentation
  • Stop Light BP Program
  • Evaluation

• September 2022 - Improving Care of People with Diabetes Through Team-Based Care 

  • Recording
  • Presentation
  • Evaluation

• August 2022 - Older Adults at Risk for Opioid-Induced Respiratory Depression

  • Register for Recording
  • Evaluation
  • For free, anonymous  naloxone delivery: https://preventoverdoseri.org/get-naloxone/ 

• July 2022 - Best Practices in Team Based Care - It’s all about the Relationship: How Connection in Primary Care Occurs Among Team Members

  • Recording
  • Presentation
  • Evaluation

• June 2022 - Health Transfer of Care

  • Presentation
  • Transition Visit Template from Hasbro Pediatric Primary Care

• November 2021

  • Presentation

• October 2021

  • Presentation
  • 2021 Rhode to Wellness Challenge
  • RI World Diabetes Day (RIWDD)

• September 2021

  • Strength-based Screening
    • a link to the full brief
    • a link to the 1-page Executive Summary
    • a link to our What You Can Do When There's Nothing to Do tool
  • Collaborative Conversations with Families to Advance the Clinical Care of Children with Medical Complexities and Disabilities - Seminar Schedule
  • Public notice of Emergency Broadband Benefits
  • September Parent Partnership in Education Newsletter
  • A Strength-based approach to screening

• August 2021 Presentation

• July 2021

  • Presentation
  • Resources shared
    • RIDOH: “Why Should I Get Vaccinated for COVID-19?”

• RIDOH: COVID-19 Frequently Asked Questions covid.ri.gov/vaccination/covid-19-vaccine-faqs
• CDC: How to talk about the COVID-19 vaccines with family and friends cdc.gov/coronavirus/2019-ncov/vaccines/talk-about-vaccines.html
• Gagneur, A. and Tamerius, K. (2021 May 20). “Your Friend Doesn’t Want the Vaccine. What Do You Say?” The New York Times. 

• June 2021

  • Presentation

• May 2021

  • Presentation
  • Safe Cleaning for People with Asthma (English and Spanish)
  • Asthma Action Plan (English and Spanish)
  • Respiratory Treatments
  • FACT SHEET FOR HEALTHCARE PROVIDERS - EMERGENCY USE AUTHORIZATION (EUA) OF THE PFIZER-BIONTECH COVID-19 VACCINE
  • FAQs - Implementing the CDC COVID-19 Vaccination Program in Provider Practices
  • Q&A about COVID-19 vaccines

• April 2021

  • Presentation
  • UnderstandingLeadResults-2021 (ri.gov)

• March 2021

  • Presentation
  • Behaviors: The Good, Bad and How to Support Creative Interventions
    • Tracking Behavior Log
    • Individual's Personal History and Preference
    • Smile Page
    • Your Iceberg
  • Alzheimer's Research in Rhode Island
    • RIH and Butler Alzheimer's Research Contact Information
  • COVID 19 Communication tool kit
    • COVID-19 Vaccination Communication Toolkit for Medical Centers, Pharmacies, and Clinicians
    • Recipient Education Toolkit for Healthcare Professionals and Pharmacists
    • Long-Term Care Facility (LTCF) Toolkit for LTCF Administrators and Leadership
    • Essential Worker Vaccination Toolkit for Employers of Essential Workers
    • Community-Based Organization (CBO) Vaccination Toolkit for Staff of Organizations Serving Communities
  • COVID 19 Homebound Test Request Form
  • Be Kind RI: opportunity to link need with volunteer request process
  • Participants needed: Building Socially Integrated Communities
  • RIPIN - Free Virtual Health and Wellness Classes: A Matter of Balance

• February 2021

  • Presentation wo practice level data
  • HEEADSSS Assessment
  • Bright Futures Pre-visit Questionnaire
  • Top Ten Tips for Telemedicine Behavioral Health Visits

• January 2021

  • Presentation

• December 2020

  • LIfespan Diabetes Prevention Program Brochure & Spanish version
  • RIDOH Diabetes Brochure & Spanish version
  • DTTAC Advance Webinars
  • Domestic Violence During COVID-19

• November 2020

  • Preliminary results from Practice/Patient Telehealth Needs Assessment
  • Coping during COVID webinar - RIDOH
  • New England ADA for Healthcare Providers Virtual Training - Dec 1st or 9th
  • COVID-19 Resource Page - contains National & State specific resources
  • The Strategic Training Initiative for the Prevention of Eating Disorders (STRIPED) Webinar and e-Course
    Title: Symptom Recognition & Referral to Treatment for Eating Disorders in Pediatric Primary Care Settings

• October 2020

  • NCM October 2020 Best Practice Sharing Meeting Presentation
  • Mental Health Resources
  • Early Intervention Flyer 1
  • Early Intervention Flyer 2
  • Early Intervention Flyer 3
  • Early Intervention Provider Coverage Areas
  • Early Intervention Provider Contact Information

• September 2020

  • Flyer for the Pediatric Complex Program
  • RI DOH World Diabetes Day
    • Information
    • Sponsorship
    • Challenge
    • Calendar
  • Coastal - Care Team Patient Engagement Tools
  • September 15th Agenda
  • September 15th NCM Presentations

• August 2020 Immunization & COVID Resources

  • Improving Access to Well Child, Immunization & Lead Screening in COVID-19 (without practice level data)

• NCM/CC GLearn Application/Participative Agreement, Attachment A, Attachment B, Attachment C

  • Page 3 - signed Application Due
  • Survey Evaluation Results

• June 2020 GLearn Capstone Presentations

  • Evelin Granados - Capstone Presentation
  • Meg McMullin - Capstone Presentation
  • Cristin Atehortua - Capstone Presentation
  • Cynthia Ali - Capstone Presentation
  • Jennifer Gilman - Capstone Presentation

• June 2020 Immunization & COVID Resources

  • NCM Meeting Plan for Incentive Payments
  • 2020 Recommended Immunizations - English and Spanish
  • Provider Office Reference Guide
  • Resources for Families APA
  • KidsNet Report for School Readiness
  • MMR Schedule
  • COVID-19 Ambulatory Care Guidance
  • Coronavirus Disease 2019 in Children
  • Updated 2019-2022 PCMH Kids Milestone Document

• May 2020 NCM resources:

  • NCM PowerPoint - May 19th Meeting
  • Digging Deep: Lessons from the Field to Care for Yourself and Others During Times of Prolonged Stress
  • COVID-19 Medical Practice Reopening Checklist
  • RI Guidance for Ambulatory Settings
  • CDC Immunization Schedule and Catch up
  • Phone Script for Staff to Use with Patients
  • RI DOH COVID-19 Control Plan
  • A to Z COVID-19 Control Plan with Daily Screening Log
  • A to Z Primary Care: Janel Snowden
  • Charter Care : Liz Soares-Sampaio Director of Operations, Patient Check in and Check out
  • RI Employer Guidance
  • QBH Staffing Schedule
  • QBH Patient Screener
  • QBH Social Distancing
  • QBH COVID-19 Signage
  • EBCAP Outline

• April 2020 COVID-19 Resources & Best Practice Sharing

  • Best Practice Sharing: Northern RI Pediatrics - Workflow & Scheduling
  • Best Practice Sharing: Northern RI Pediatrics - Testing & Results
  • Best Practice Sharing: Massasoit Internal Medicine
  • CDC Telephone Triage Guidelines
  • CDC 3 questions to ask
  • AAFP Checklist to Prepare Physician's Office for COVID-19
  • Best Practice Sharing: Quality Behavioral Health
  • Best Practice Sharing: Women's Medicine Collaborative
  • Telehealth appointment process
  • Brown: Televisits
  • Tip sheet: Televisit encounters
  • Weitzman ECHO: Managing Workflows Under Constant Changes
  • RIDOH: Getting Tested in RI
  • Getting Results: Brian Miller Current Care
  • How to create Gmail account
  • How to use Face Time
  • Project Hello
  • RIPIN Family Resource Liaison
  • Supplies: Blood Pressure Cuffs

• Asthma Resources

  • High-Risk Pediatric Asthma presentation
  • NACI Action Guide
  • NAEPP Asthma quick reference guide

• High RIsk Resources

  • PCMH Kids High-Risk Framework
  • PCMH Kids High-Risk Framework Workplan Tool
  • PCMH Kids High-Risk Framework Template
  • Compiled PCMH Kids High-Risk patient population numbers
  • How high-risk care coordination made a difference with a child or family
  • June 2019 PCMH Kids High-Risk presentation