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Practice Newsletter - August 21, 2014
Rhode Island Chronic Care Sustainability Initiative
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Upcoming Meetings:


August 22, 7:30-9am 

(BVCHC): Executive Committee (committee members only)


August 22, 9:30-11am

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


August 28, 7:30-9am 

(RIQI): Contracting Committee (CSI practices and health plans only) 


September 2, 7:30-9am 

(Memorial Hospital, Pawtucket): Data and Evaluation Committee 

September 4, 7:30-9am

(301 Metro Center Blvd., Warwick): PCMH-Kids Stakeholder meeting (committee members only)

September 9, 8-9:30am

(RIQI): Nurse Care Manager Best Practice Sharing Committee

September 12, 7:30-9am

(RIQI): Steering Committee

September 129:30-11am

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

September 18, 7:30-9am

RIQI): Practice Transformation Committee

September 18, 3:30-5pm

(RIQI): Integrated Behavioral Health Workgroup

September 23, 8-9:30am

(RIQI): Practice Reporting Committee (REQUIRED meeting for all CSI sites) 

September 25, 7:30-9am 

(RIQI): Contracting Committee (CSI practices and health plans only) 


September 26, 7:30-9am 

(BVCHC): Executive Committee (committee members only)


September 26, 9:30-11am

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

Upcoming Events

"Extended-Release and Long-Acting Opioid
 Analgesics Risk Evaluation and Mitigation Strategy"
Education on best practices for opioid safe use is critical for all clinicians managing patients with chronic pain. 

Wed., September 10
5:30 - 8:30pm 
Sat., September 27
Warren Alpert Medical School, Lecture Hall 170

For more information or to register, click here.

"Using Evidence-Based Practices in Community Settings: The NIDA/SAMHSA Blending Initiative" 
The NIDA/SAMHSA Blending Initiative is an effort to accelerate the dissemination of research-based drug abuse and additional treatment findings into community-based practice. 

Thurs., September 18, 2014
8:30 am - 4:30 pm

Best Western Royal Plaza Hotel & Trade Center 

For more information or to register for this event, click here.

"Geriatrics-Competent Care Webinar Series"
Designed to help health care professionals, health plan staff, consumer advocates, and other stakeholders expand their knowledge and skills in the unique aspects of geriatrics care.

Webinar 2: Geriatric Assessment
Thurs., August 28

For more information or to register, click here.

Partnership to Promote HPV Vaccination and Share Best Practices 
This conference
will equip providers with information and tools necessary to address patient concerns and implement strategies to
increase vaccination rates in RI.

Tues., September 16, 2014 
The Crowne Plaza Hotel 

For more information click here
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.

CSI-RI Seeking Patients for Upcoming Focus Group

CSI-RI is currently seeking patients from CSI-RI practices to participate in an upcoming focus group to discuss their primary care experiences.

As a PCMH initiative, it is important for us to hear from patients, how they perceive their practice's transformation and what we can do to continue to meet their needs. Establishing a patient advisory group is a strategic goal for CSI-RI, and we hope that this focus group will be the first step.

The focus group is being held:
Tuesday, September 30
Chelo's (Cranston Location)

Participants will receive a $50 stipend gift card and dinner during the discussion. Space is limited, and patients must RSVP by emailing [email protected] or calling 508-421-5919. 

For more details or to access a copy of a focus group flyer to display this information to your patients, click here.

Reminder: Upcoming CSI-RI Application Deadline 

CSI-RI issued an opportunity for primary care practices to apply to become part of the Rhode Island Chronic Care Sustainability Initiative, with the intent that CSI-RI would select 20 new primary care practice sites with the current expansion. Interested practices need to submit completed application packages electronically to 
[email protected] no later than 5:00 pm on Friday, 8/22/14.  More information, including a Frequently Asked Questions document, is available at www.pcmhri.org.

CSI-RI 2014 Contractual Quality Performance Standards and Measures Definition

The Data and Evaluation Committee together with the Practice Reporting Committee has finalized the 2014 Contractual Quality Performance Standards (including targets). Details on the quality measures that will be required for practice reporting can be found here. The Practice Reporting Committee has additionally updated the Practice Reporting Measurement document to include updated language on blood pressure measurement by age range. The updated CSI-RI Measure Definition document (8/13/14) can be found here.

Partnering in Best Practice: Nurse Care Manager Success Stories 

Congratulations to Pat Gavin RN, Linda Moskala RN (from Medical Associates of RI) and Sandra Mota RN (from Nardone Medical Associates) who recently completed the Certified Diabetes Outpatient Education (CDOE) course and successfully passed the CDOE exam. These two primary care practices applied to CSI-RI's Partnering in Best Practice program and used the funding to help their nurse care managers obtain additional skills for working with patients who could benefit from diabetes education.  

Congratulations to Healthcentric Advisors!

Recently, Healthcentric Advisors was awarded a five year contract with the Centers for Medicare & Medicaid Services (CMS) to serve as the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for New England. 

As one of 14 organizations in the country to receive a QIN-QIO contract, members of the Healthcentric team will provide tools, education and support to providers across New England, giving the Rhode Island health care community the opportunity to connect and share best practices with health care providers from other states. 

Congratulations to Healthcentric Advisors! To learn more about the specific initiatives that are part of the QIN-QIO contract click here. 

"Structural Capabilities in Small - and Medium - Sized Patient Centered Medical Homes"

Recently, a study was published in the American Journal of Managed Care that evaluated the structural capabilities associated with the PCMH model in PCMH pilots in Colorado, Ohio and Rhode Island. Further, the study evaluated changes in capabilities over two years in our RI pilot and evaluated facilitators and barriers to the adoption of capabilities.

According to the study's results, RI practices averaged 42 points (out of 100 points) for baseline structural capabilities, and reached 90 points by the end of year two. Key facilitators that emerged were payment incentives, transformation coaches, learning collaboratives, and data availability supporting performance management and quality improvement.

The study concludes that early adopters, prevalence of structural capabilities and performance was significantly improved with practices that had initially lower capabilities. Additionally, building capabilities requires payment reform, attention to implementation and cultural changes.

To read the full study, click here.

CurrentCare - How to Incorporate the Viewer into Your Workflow

If you or your staff have been trained on the CurrentCare Viewer, you may want to check out two new tools to help you incorporate the use of the Viewer into your office workflow. Developed by the RI Regional Extension Center (a service of the Rhode Island Quality Institute), both the Viewer Workflow Sharing Tool and the Viewer Workflow Assessment Sheet (both available herewere designed to help you target where to use the Viewer in your workflow and then how to share this information out to your team. 


Andrea Levesque, RIQI Relationship Manager and NCQA PCMH Certified Content Expert developed these tools and is assisting practices with their use and evaluation. The Workflow Assessment Sheet helps you to pick a workflow, e.g. New Patients, Missing Labs, Post Hospitalization, and allows you to simply place a checkmark when the Viewer helps you save staff time, patient time, or improve care. After this exercise has been repeated for about ten patients, you are encouraged to use the Workflow Sharing Tool to share information with your team about where the Viewer provides the most value to your patients. 


For more information about how to adopt CurrentCare services at your practice, please contact the RI Regional Extension Center by emailing [email protected], calling (888) 858-4815 or visiting

"Practice Tips" from the RI Primary Care Physicians Corporation

The RI Primary Care Physicians Corporation produces "Practice Tips" on a monthly basis that may be of interest to CSI-RI practices. Access these "Practice Tips" here.