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Practice Newsletter - October 2014
Rhode Island Chronic Care Sustainability Initiative
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Upcoming Meetings:


November 4, 2014 7:30 - 9:00am CSI-RI Data and Evaluation (Memorial Hospital, Pawtucket)

November 6, 2014 7:30 - 9:00am PCMH Kids Stakeholder (301 Metro Center Blvd, Warwick) (Committee Members only)

November 11, 2014 8:00 - 9:30am Nurse Care Manager Best Practice (RIQI)

November 14, 2014 7:30 - 9:00am CSI-RI Steering Committee (RIQI)

November 17, 2014 7:00 - 8:30am CSI-RI South County Steering (South County Hospital)

November 18, 2014 8:00 - 8:30am Nurse Care Manager Review (Coastal Hillside)

November 20, 2014 7:30 - 9:00am  Practice Transformation Committee (RIQI)

November 20, 2014 3:30 - 5:00pm Integrated Behavioral Health (RIQI)

November 21, 2014 8:30 - 9:30am  CSI-RI Leadership (Call)

November 25, 2014 8:00 - 9:30am Practice Reporting (RIQI)

November 25, 2014 1:00 - 3:30pm Practice Facilitation (RIQI) (Members Only) 

Upcoming Events

Certificate Program in Primary Care Behavioral Health 
*Early bird registration period ends October 31, 2014 (includes a savings of $200)

Suboxone and Methadone Prescribing and Dosing 
November 6, 2014, 8:30am-9:30am at the RI Dept. of Health Auditorium, Providence RI

Women with Breast or Gynecologic Cancers: Diagnosis and Management for the Primary Care Clinician 
(Approved for AMA PRA Category 1 Credits, AAFP, APA, Physical Therapy and Nursing credits.) 
November 8, 2014, 7:15am-3:30pm at the Providence Marriott Hotel, Providence RI

NCQA PCMH 2011 Boot Camp: 
Part I - November 6, 2014, 5:00pm
Part II - November 13, 2014, 5:00pm

Promoting Success: Identifying & Assisting the Challenge Learner in Need
December 3, 2014, 5:00pm-7:00pm at the Warren Alpert Medical School, Providence RI

NCQA PCMH 2014 Work Plan 
December 11, 2014, 5:00pm

Fundamentals of Outpatient Adult Orthopedics, Upper Extremity: Where to Start, When to Refer
(Approved for AMA PRA Category 1 Credits, AAFP, AOA, AOTA and PT credits.)
December 13, 2014, 7:15am-5:00pm at the Omni Providence Hotel, Providence RI

Using Learning Theory to Improve Your Teaching Procedural Skills
January 21, 2015, 5:00pm-7:00pm
 at the Warren Alpert Medical School, Providence RI

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 Hosts Large Learning Collaborative "The Primary Care Team: The Future in Now!"
Close to 300 people attended our recent Learning Collaborative "The Primary Care Team: The Future is Now!" held during Primary Care week on October 9th at the Radisson in Warwick. The conference featured interdisciplinary national, regional and local speakers who offered state of the art strategies for increasing patient engagement, providing team based care, meeting the needs of complex patients and integrating behavioral health into the primary care setting. 

CSI-RI is grateful to the many organizations that sponsored the event, including: The Rhode Island Foundation (RIF), Rhode Island Department of Health, Department of Family Medicine, MHRI/CNE and Brown University, The RIGHA Foundation at RIF, the New England States Consortium Systems Organization as well as the multi-payers who provide financial support for our CSI-RI project (Blue Cross and Blue Shield of Rhode Island, Neighborhood Health Plan of Rhode Island, United Healthcare and Tufts Health Plan). 

You can access the materials from the event here
Data and Evaluation Update: CSI-RI 2014-2015 Contractual Performance Standards Established

Each year, the Data and Evaluation Committee, with input from the Practice Reporting Committee, reviews and establishes quality, customer experience and utilization targets based on practice experiences from the previous year and review of updated industry standards. This year, the Committee has made changes in the quality measures, reducing the number of required measures for quarterly reporting. 

In Performance Year 2, practices will be eligible for additional incentive payment if the practice meets targets in 6 out of 6 measures. Practices will now have greater flexibility for achieving success for the Access measure. In keeping with the emphasis on patient engagement, the Data and Evaluation Committee has broadened the options for achieving success in patient experience to include additional composite measures (such as Shared Decision Making, Self-Management, and Comprehensive Care) as well as Communication and Office Staff. 


Details of the 2014-2015 Contractual Performance Standards can be found here. Incentive payment will be made in July 2015 based on quality data submitted by practices in the first quarter (January-March 2015). The CAHPS survey will be administered in January 2015. Claims data run through the end of quarter 2 2014 will be used to generate the data points for the utilization measure.

Practice Spotlight: University Medicine Warwick and Barrington Sites

The front office staff, medical secretaries and medical assistants, all play a critical role in being "the face of the office" and setting the stage for great customer service. Recognizing this, office managers Susan Rea (University Medicine: Warwick) and Kathleen Arif (University Medicine: Barrington), worked with CSI-RI practice facilitators Jackie Lefebvre and Aimee Schayer, to offer their staff a training session where they could learn and practice techniques that would improve service for both patients and other staff members. After the training the practices reported more positive results, and saw a decrease on patient complaints and conflict.


To view a presentation about the customer service training click here.

CMS Expands MAPCP Demonstration Through 2016
On September 24, 2014, CMS announced the offer to extend the MAPCP demonstration through 2016. Rhode Island is one of eight states that have been participating in the Multi-Payer Advanced  Primary Care Practice Demonstration Project (MAPCP). The goals of the demonstration have been to reduce unnecessary utilization and expenditures, improve the safety, effectiveness, timeliness and

efficiency of health care, increase patient decision making and increase the availability and delivery of care in underserved areas. The extension of the demonstration through 2016 will allow for continued participation through the evaluation phase of the project.

Beginning in January 2015, CMS has additionally proposed payment for primary care complex care management for primary care practices that do not receive payment under the demonstration project.The CMS Fact Sheet on the CY 2015 proposed rule can be found here
How to Access High Risk Patient Lists from Health Plan Portals

Health plans and primary care practice sites have been working hard to better identify patients who might benefit from care coordination, in addition to developing a process for sharing specific high-risk patient information across all CSI-RI practices. While work to simplify the process of accessing and using this patient information continues, CSI-RI has created a  "How to" document that provides health plans specific directions on how to access the high risk patient information. 

CurrentCare is working to reach new enrollment goal

This past September, more than 422,000 RI residents enrolled in CurrentCare. Now CurrentCare is asking practices to work with them to reach their goal of enrolling 500,000 RI patients. 


The RI Regional Extension Center has created an easy way to tell what percentage of a practices patient panel is already enrolled in CurrentCare. You can download the Patient Panel Review Procedures here. This document provides directions about how to obtain a list of patients who are not enrolled. 


A Business Associate Agreement (BAA) must be in place so that your practice can send CurrentCare a patient panel. If you have any questions about this process please contact your RI REC Relationship Manager or call 888-858-4815

PCMH Job Opportunity: 
East Bay Community Action Health Program is seeking a Health Analytics Manager.  This is a full time (40 hour per week) position that works out of both East Providence and Newport. 

For more information about this position click here.