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Practice Newsletter - April 24, 2014
Rhode Island Chronic Care Sustainability Initiative

Upcoming Meetings:

April 24, 7:30-9am (RIQI): Contracting Committee (CSI practices and health plans only) 


April 25, 7:30-9am 

(BVCHC): Executive Committee (committee members only)


April 25, 9:30-11am 

(BVCHC): Community Health Team Planning meeting (committee members only)


May 1, 7:30-9am (301 Metro Center Blvd., Warwick): PCMH-Kids Stakeholder meeting (committee members only)


May 6, 7:30-9am (Memorial Hospital, Pawtucket): Data and Evaluation Committee


May 9, 7:30-9am (RIQI): 

Steering Committee


May 9, 9:30-11am (RIQI): Community Health Team Planning meeting (committee members only)


May 13, 8-9:30am (RIQI): 

Nurse Care Manager Best Practice Sharing Committee


May 15, 7:30-9am (RIQI): 

Practice Transformation Committee


May 15, 3:30-5pm (RIQI): 

Integrated Behavioral Health Workgroup


May 22, 7:30-9am (RIQI): Contracting Committee (CSI practices and health plans only) 


May 23, 7:30-9am 

(BVCHC): Executive Committee (committee members only)


May 23, 9:30-11am 

(BVCHC): Community Health Team Planning meeting (committee members only)


May 26, 10-11:30am (RIF): 

Program Evaluation Committee (committee members only)


May 27, 8-9:30am (RIPCPC, Cranston): Practice Reporting Committee


Upcoming Events:

Chronic Care and Disease Management Webcast Event

Using the Stages of Change to Assist Patients to Make Lifestyle Changes 

April 29, 2014

8:30 - 9:30 am

RI Dept. of Health Auditorium

Live Webcast: Pre-Registration is Required

Click here for details.


Public Health Grand Rounds Webcast Event

Lyme Disease, Babesiosis, and Borrelia Miyamotoi

May 1, 2014

8:30 - 9:30 am
Live Webcast: Pre-Registration is Required

Click here for details.


Lifespan's Obesity Symposium

Improving Outcomes for Patients: Tools & Resources, Reimbursement for Obesity & More!

May 6, 2014

12:30 - 7:30 pm

Crowne Plaza Hotel, 801 Greenwich Ave, Warwick, RI 


Diabetes, Distress, and Depression: Incorporating the Emotional Side of Diabetes Into Clinical Care

May 20, 2014

1:00 - 2:00 pm

Webinar will explore the construct of emotional distress, and suggest strategies for integrating the emotional side of diabetes into regular diabetes care.  Register here.


Treating and Defeating Hepatitis C in RI

May 16, 2014
The Omni Providence Hotel

Provides an overview of current and future HCV screening, care and treatment; addresses emerging issues facing practitioners and public health organizations; and presents HCV epidemiology and strategies to expand capacity to cure. Read more.  


Prescription Diversion Summit

June 7, 2014

8:00 am - 12:40 pm
Warren Alpert Medical School

This program will provide practitioners with critical insights into the scope of the problem of prescription drug diversion and abuse in Rhode Island. Read more

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CSI-Rhode Island
Rhode Island Foundation
One Union Station
Providence, RI 02903
Welcome to the Rhode Island Chronic Care Sustainability Initiative Practice Newsletter, where CSI-RI shares exciting updates, news, milestones, meeting information and more with our CSI-RI practices.
Practice Spotlight: Internal Medicine Partners achieves Level 3 NCQA Recognition!
Congratulations to Internal Medicine Partners for achieving Level 3 NCQA Recognition! 

CAHPS Patient Experience Survey Results are in!

The 2014 Consumer Assessment of Healthcare Providers and Systems (CAHPS) was conducted in January and February of this year. The NCQA certified vendor surveyed over 17,000 CSI-RI patients and received a 31% response rate. 


CSI-RI practices continue to demonstrate directional improvement in the targeted areas of access, provider communication and office staff communication.  Though not part of the 2014 CSI-RI Development Contract, directional improvement was also noted in areas of shared decision making, self management, and comprehensive care and in provider rating.  More details on the most recent CAHPS data, please login to the PCMH Portal.

Best Practice Corner: Wood River Health Center Working to Improve Patient Access and Continuity of Care

Providing patients with same day access is a fundamental and often challenging aspect of providing patient-centered care.  Wood River Health Center wanted to re-design their scheduling system so that it better assured patients would be seen by their providers when they needed care. The concept may seem simple, but re-designing work processes involves understanding what patients need and when they need it, and such change impacts the total staff. To help them on this journey, Wood River invited Scott Hewitt, their assigned practice facilitator from Brown, to work with them in analyzing patient panels, and supply and demand studies. The practice team, together with a leadership Steering Committee, tested changes over time, and used their data to make strategic decisions to "open" the schedule to better meet patients' needs. To learn more about their work, click here.

Two Practice Facilitators Receive NCQA PCMH Content Expert Certification

Blue Cross & Blue Shield of Rhode Island (BCBSRI) Practice Facilitators, Jaqueline Lefebvre and Aimee Schayer, recently completed training and certification requirements for the NCQA PCMH Content Expert Certification. Certified content experts are required to complete two NCQA educational seminars, pass a comprehensive exam and commit to continuous learning and recertification to maintain the credential. As a result of these achievements and the practice facilitation program's commitment to the provider community, CSI-RI and BCBSRI are listed on the PCMH Partners in Quality page on the NCQA website.
Professional Development Classes - Quality Behavioral Health

Quality Behavioral Health, in Warwick, welcomes CSI-RI members to attend and participate in its quarterly staff development workshops. The sessions are co-sponsored by South Coast Educational Collaborative in Massachusetts and are offered to behavioral health care providers throughout RI. CEU's are provided to social workers and licensed mental health workers through an agreement with Rhode Island College.


Workshops in the past have treated a variety of topics by local and national presenters. These have included Motivational Interviewing, Child and Adolescent Anxiety, Neuroscience, DSM-5, and a variety of other subjects. Two upcoming workshops on Substance Abuse and Addiction will be presented on May 23 and June 27 at the Ray Conference Center on the Butler Hospital Campus. The presenter will be Dr. Nadine Mastrolio of the Center for Alcohol and Addiction Studies at Brown University. Four CEU's will be provided. The workshops will be offered at a nominal cost to CSI-RI members, with discounts given to those who have entered into collaborative agreements with Quality Behavioral Health. Please contact QBH by May 5 to register for the workshops (401-681-4274).

NCQA Releases 2014 PCMH Standards

The 2014 PCMH Standards and Guidelines, which include the requirements to meet the Standards, are now available and can be ordered free of charge (click here to access).


NCQA will be offering live learning sessions "Facilitating PCMH 2014 Recognition" right here in Providence (July 22-23, 2014).  If you are considering PCMH Content Expert Certification, there is an additional NCQA training being offered in Providence on July 24, 2014: "Advanced Topics in PCMH".  For practices looking to apply for PCMH under the 2011 Standards, the last day to purchase the 2011 PCMH Survey Tool is June 30, 2014. All 2011 PCMH Survey Tools must be submitted by March 31, 2015.  

Cohort 1 CSI-RI Practices Demonstrate Decreased Inpatient Hospital Admissions

CSI-RI uses a Multi-year, Multi-Payer data set to measure utilization. The data set includes quarterly data for three health plans (Tufts is not included) for the time period 2009-June 2013.  Practices in Cohort 1 demonstrated a 7.2% reduction in all cause inpatient admissions when compared with the comparison group.  Cohort 2 (which includes practices that entered CSI-RI in 2013 and 2012) did not realize reductions in inpatient admissions or emergency room usage. 


These results are very encouraging, especially for practices that have been in CSI-RI for a longer period of time. More analysis will be done on emergency room utilization to better understand emergency room usage and potential strategies that might be employed to decrease emergency room use. For more information, click here.