Practice Facilitation and Practice Reporting Resources

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Practice Facilitation Resources

Onpoint Portal Documentation

CTC Practice Application for Integrated Behavioral Health Practice Facilitation Services
3rd Next Available 2017 Blank Template
Access Discussion 2017
NCQA Reporting on 3rd Next Available Appointment
XXPractice Supply Worksheet
AHRQ Shared Decision and Other Resources
Diabetes Medication Choice Decision Aid
Guide to Using Decision Worksheet in Office
SDM Decision Worksheet- Depression
SDM Decision Worksheet- Diabetes
SDM Decision Workseheet- Acute Low Back Pain
SDM Decision Worksheet- High Blood Pressure
SDM Decision Worksheet- High Cholesterol
Ideation Challenge in Primary Care PPT

Practice Reporting Resources

2018 DataStat (CAHPS Survey) Reporting

Adult CTC Service Delivery Requirement QI Activity 

PCMH-Kids CTC Service Delivery Requirement QI Activity


PCMH-Kids High Risk Framework - 2018

PCMH-Kids High Risk Framework Self-Assessment and Work Plan Tool - 2018

CTC NCM Measurement Definitions - 2018

Revised CTC-OHIC 2018 Measure Specifications - Adult and PCMH-Kids

How to Access High Risk Reports from Health Plans - 2018

IHI PDSA Tool - August 2018

NCQA PCMH Quality Measurement and Improvement Worksheet - August 2018

CTC Contractual Performance Standards 2016-2017
CTC NCM Measure Definitions 2016
Instructions for Obtaining NCQA Value Set 
Revised Measure Specificationd Adult and Pedi OHIC 2016
CTC NCM Measurement System Reporting Template Phase 1 Reporting to RIQI
Impactability Screening Criteria 
ICD-10 Codes for CTC CQM and NCM Measures
RIQI CTC Quality Measure Strategy Checklist
Enhanced Care Sample Speradsheet
CTC High Risk Presentation


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.