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Practice Newsletter - June 26, 2014
Rhode Island Chronic Care Sustainability Initiative

Upcoming Meetings:

June 27, 7:30-9am (BVCHC): Executive Committee (committee members only)


June 27, 9:30-11am  

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


July 1, 7:30-9am (Memorial Hospital, Pawtucket): Data and Evaluation Committee 


July 3, 7:30-9am (301 Metro Center Blvd., Warwick): PCMH-Kids Stakeholder meeting (committee members only)


July 8, 8-9:30am (RIQI): Nurse Care Manager Best Practice Sharing Committee


July 11, 7:30-9am (RIQI): Steering Committee


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


July 17, 7:30-9am (RIQI): Practice Transformation Committee


July 17, 3:30-5pm (RIQI): Integrated Behavioral Health Workgroup


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


July 25, 7:30-9am (BVCHC): Executive Committee (committee members only)


July 25, 9:30-11am (BVCHC): Community Health Team Planning meeting (committee members only)


No July Practice Reporting Committee-moved to August 14, 8-9:30am


July 22-23, all day (Providence) NCQA Training on PCMH 2014 Recognition. More information here.

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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.

Help spread the word about the CSI-RI expansion (and deadlines)! 

CSI-RI is looking for applications from primary care practices interested in transforming into high-value patient-centered medical homes.  


The 2014 CSI-RI "Call for Applications" documents can be found at www.pcmhri.org. A non-binding "Letter of Intent" is due July 11, 2014 and can be sent electronically to: [email protected]. The Letter of Intent should include: practice name and address, physician champion, application key contact name, email address, and phone. If applicant represents a multi-site practice, the name of physician champion at each site is requested. Letters of Intent are not required from interested practices, but are strongly encouraged. 


Please pass this reminder along to any practices that may be potentially interested in applying to join CSI-RI. Full applications are due August 22, 2014.

2014 CSI-RI Partners in Best Practice Program

The intent of the Partners in Best Practice Program is to provide each practice site with up to $500 to be used towards a transformation activity such as: building internal PCMH capacity, improving performance on one of the CSI-RI Contract target areas, or receiving mentoring support from another CSI-RI practice. 



2014 Applications will be accepted through March 31, 2015 

2014 Plans must be completed by June 30, 2015 


For more details and information, click here.

NCQA news and updates
Important NCQA Dates:
  • June 30, 2014 is the last date to purchase NCQA PCMH 2011 survey tools;
  • December 31, 2014 is the suggested last date to submit PCMH 2011 corporate survey tools for multi-site submission; and 
  • March 31, 2015 is the last date to submit PCMH 2011 survey tools.
Family Medicine at Women's Care achieves Level 2 NCQA Recognition 

Congratulations to Family Medicine at Women's Care, located in Pawtucket, for achieving NCQA Level 2 Recognition! 

Practice Spotlight: Anchor Medical Associates

Anchor Medical Associates was recently featured in the Providence Business News for their new preferred provider agreement. Check out the article, below:


Anchor Medical, Home Care & Hospice sign preferred provider agreement

By Harold Ambler, PBN Contributing Writer
Posted 6/3/14

PROVIDENCE - Home & Hospice Care of Rhode Island, Visiting Nurse Home Care and Anchor Medical Associates have signed an agreement whereby HHCRI and VNHC have become Anchor's preferred providers for home care, palliative and hospice services.

"There is great value in streamlining referrals and having just one agency to work with for our patients in need of home care, palliative and hospice services," said Dr. Nathan B. Beraha, Anchor's medical director and CEO, in a statement. "We are pleased to have Home & Hospice Care of Rhode Island and Visiting Nurse Home Care jointly fill this role and confident that they will provide the best possible care for our patients."

Anchor Medical Associates is a private medical group practice comprised of primary care internists and pediatricians along with certified physician assistants, nurse practitioners, nurse care managers and registered nurses working together to provide patient-centered medical care. Anchor's three practices are located in Lincoln, Providence and Warwick, through which it serves 35,000 patients. 


To access the full article, click here

Practice Spotlight: Tri-Town's Medical Assistant Boot Camp

The medical assistant role has been elevated to a higher level with the changes in the healthcare system. In the patient-centered medical home model, teamwork is essential. As we transition into more team based-care, standardization of data entry and strong clinical competency are the new essential skills for medical assistants. Aside from rooming patients and obtaining the vital signs, they are required to enter clinical data in EMRs.  Thus, Tri-Town created a curriculum for their medical assistants in order to standardize rooming patients and data entry. 


Tri-Town sponsored a Medical Assistant Boot Camp using the financial support from CSI-RI's Partners in Best Practice Program. We asked Tri-Town to share their great work - the following is a recap of their Boot Camp.


The MA Boot camp focuses on improving these core skills and providing a venue for them to raise their questions, clarify workflows and strengthen team dynamics. Tri-Town's medical assistants also felt that this learning activity should be set aside from the daily grind of the clinic, hence, they scheduled the Boot Camp on a Saturday and allotted four hours for the program.


The Boot Camp sessions included: pre-visit planning basics (types of visits, patient templates, orders and referrals follow-up, checking care guidelines); rooming patients (documentation requirements, medical reconciliation, health management protocols, vital signs); small group discussion (difficult patients, best practices in rooming patients); basic clinical procedures checklist (EKG, spirometry, hearing and vision testing, ear irrigation); managing the clinical environment (daily and weekly checklist, autoclaving, laboratory functions); and ethics, culture and expectations in the workplace.


Most of the materials used during the MA Boot Camp were obtained through the Safety Net website, and were edited and tailored to Tri-Town's practice. Their nursing supervisor, Suzanne Lowe, also came up with a checklist for rooming patients and it is available on Tri-Town's website.

Job opening: Nurse Care Manager at South County Walk-In Primary Care, Inc.
South County Walk-In Primary Care, Inc. in Narragansett, RI is seeking a new full-time Nurse Care Manager. 


The Nurse Care Manager will work on and promote team based multidisciplinary healthcare in a walk-in and primary care office. He/she will be part of a program charged with setting up and implementing a primary care medical home care model and administering evidence based health care in a new and innovative way. The Nurse Care Manager is responsible for providing comprehensive screenings, assessment, care coordination services, disease education and self-management support with patients who have chronic health conditions - with particular attention but not limited to coronary artery disease, depression, and diabetes. The Nurse Care Manager will be integrated into the office-based healthcare team to work in partnership to promote patient-centered care, frequent contact with primary care providers and medical home team members, and actively participate in multidisciplinary patient-centered team meetings.

For more information and details on this posting, click here.