Highlights of 2013 CSI-RI results include:

• CSI-RI practices collectively met every targeted patient health outcome, including areas of weight management, diabetes, high blood pressure and tobacco cessation; and practices are showing improvement over time in all of the targeted areas.

• CSI-RI practices received increased, positive patient experience ratings, including access to care, communication with their care team, office staff responsiveness, shared decision making, and self-management support.

• More experienced CSI-RI practices saw reduced inpatient hospitalization, while the comparison group (primary care practices that are not CSI-RI patient-centered medical homes) experienced an increase.

• More CSI-RI practices (81%) have achieved National Committee for Quality Assurance (NCQA) recognition, which sets specific standards for primary care practices to use in organizing care around patients, working in teams and coordinating and tracking care over time. 

This year, CSI-RI is looking for practices to be able to demonstrate working collaborative relationships with other healthcare organizations or systems that will be able to support the practice in coordination of care (e.g. hospitals, specialists, and community-based services). Applicants are also asked to apply with a minimum of three to four full-time providers and a combined panel size of approximately 5,000 patients. Single provider practices may partner with other primary care practices, provider organizations or hospital systems for support in PCMH infrastructure and meeting the CSI-RI deliverables. They may apply as one application. Multisite practices may also apply in one application. In all cases, each site would be required to report on quality and customer experience at the practice site level, unless the practice can demonstrate that their patients and providers are shared across each practice site.