Practice Newsletter - November 2014
Rhode Island Chronic Care Sustainability Initiative

NCQA Corner: New Elements in 2014 for Providing Patient-Centered Care 

In 2014, NCQA has identified some new elements and factors to better support patient-centered care. A brief outline of the new elements that address patient-centered access, providing team-based care and assessing health care literacy can be found here.

Upcoming Events

How to Address the Sexual Health Needs of Your Patients and their Partners
December 2, 2014, 5:15pm -7:30pm at the Warren Alpert Medical School, Providence RI

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

Creating Shared Goals with Motivational Interviewing (Webinar)
December 3, 2014, 2:00pm-3:00pm 

Tools You Can Use to Prevent Diversion of Controlled Substances in Your Practice (Webinar) 
December 4, 2014, 8:30am - 9:30am
Learn More and register

NCQA PCMH 2014 Work Plan (Webinar) 
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

Quality Reporting in eClinicalWorks: Become a Date Geek! (Webinar) 
December 18, 2014 8:30am-9:30am 

Emergency Medical Countermeasure Dispersing in RI: What You Need to Know (Webinar) 
January 8, 2015 8:30am-9:30am 

2015 Transgender Medicine Conference 
January 10, 2015, 7:30am-4:30pm at the Warren Alpert Medical School, 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

Practice Resource: A Handbook for Patients with Pain

Purdue Health Care Alliance Development Team recently updated their Handbook for People with Pain, 
which includes recommendations to promote and enable self-care management of pain. The Handbook 

can be found here.

Upcoming Meetings:

December 2, 2014 7:30-9:00am Data and Evaluation (Memorial Hospital, Pawtucket)

December 3, 2014 7:30-9:00am Nurse Care Manager Measurement (Metro Center Blvd., Warwick)

December 4, 2014 7:30-9:00am PCMY Kids (Metro Center Blvd., Warwick)

December 9, 2014 8:00-9:30am NCM Best Practice Sharing (RIQI)

December 9, 2014 1:00-3:00pm Practice Facilitation Collaborative (RIQI)

December 9, 2014 4:30pm New Practice Orientation 

December 11, 2014 8:00-9:30am Practice Reporting (RIQI) 

December 12, 2014 7:30-9:00am Steering Committee (RIQI) 

December 12, 2014 9:30-10:30am  Community Health Team Planning (RIQI) 

December 15, 2014 7:00-8:30am South County Steering Committee (South County Hospital)

December 18, 2014 7:30-9:00am
Practice Transformation (RIQI)

December 18, 2014 3:30-5:00pm Intergrative Behavioral Health (RIQI)

December 22, 2014 10:00-11:30am Program Evaluation Committee (RIQI)

December 23, 2014 1:00-3:00pm  Practice Facilitation (BCBS) 

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 2014 Expansion Update

CSI-RI is excited to announce that 25 primary care practice sites have been accepted to join the primary care reform initiative. This year's expansion grows CSI-RI to now include 43 primary care practices with 73 total practice sites, providing more than 320,000 Rhode Islanders with access to a patient centered medical home. 

The 25 practices were selected based on their track record as agents of change and their commitment to continuous, data driven improvements in health, healthcare and value.  


Check out this Providence Business News to learn more about the expansion and to view a list of the 25 new practice sites. 

Report: 2014 CSI-RI Focus Group Analysis

On September 30, 2014 CSI-RI hosted a focus group with 16 participants from CSI-RI affiliated primary care practices from across the state. The purpose of this focus group was to reach beyond the data received from the CAHPS survey each year and hear directly from patients about their anecdotal primary care experiences regarding levels of access to care, communication between patients and their primary care offices, how patient's health care decisions are made, and how care is managed by both patients and their primary care doctors. 


Among many takeaways, patients emphasized their desire to feel respected as a person and not just a number. It was clear that each patient had different expectations from their primary care doctors and practices as well as strong opinions about their personal care and how they wanted that managed. 

To read the full CSI-RI Focus Group Analysis Report please click here.

Congratulations from CSI-RI! 

Congratulations are extended to Mary Hickey RN CCM, Director of Coordinated Care at Lifespan, who was recently notified by NCQA that she successfully passed the NCQA Content Expert exam under the 2014 standards.  Mary participates in many of the CSI-RI Committee meetings and is a valuable resource within CSI-RI's network.


CSI-RI would also like to congratulate Anchor Medical Associates and its providers at their three sites for receiving Level 3-NCQA PCMH recognition. Anchor Medical Associates have continued use evidence based, patient-centered processes that focus on highly coordinated care and long-term, participative relationships. This is Anchor Medical Associates second three year recognition acomplishment. 

Practice Spotlight: Women's Medical Collaborative 

Kathy Primo RN, Clinical Manager at Women's Medicine Collaborative, recently presented at CSI-RI's Practice Transformation Committee meeting on the work that Women's Medicine Collaborative is doing to put the patient in the center of the practice by implementing a Patient Advisory Council.  


During her presentation Kathy shared how to launch and maintain a Patient Advisory Council within a primary care practice. Benefits of having a Patient Advisory Council include increased understanding, support and respect among patients, family and staff, increased satisfaction for all stakeholders and improved education.  


Kathy has generously offered to be a resource for CSI-RI practices that are interested in starting a Patient Advisory Council (please contact Kathy at [email protected]).  Her presentation from the Practice Transformation Committee meeting can be found here.

CSI-RI Executive Committee Approves Definition of "Satellite Practice Site" 

CSI-RI practices are seeking to provide patients with better access to care by creating satellite clinic site, where providers in the parent site can additionally work in a smaller satellite site. The CSI-RI Executive Committee recently approved the definition of a "Satellite Practice Site" and the process that a practice can use to apply for satellite practice designation. The Satellite Practice Site definition and application process can be found here.

Women & Infant's NICU Using CurrentCare Hospital Alerts
The Rhode Island Quality Institute (RIQI) has recently made impressive strides in facilitating the reduction of hospital re-admissions by coordinating care. As the Regional Extension Center for Rhode Island, RIQI connects the state's commercial hospitals via CurrentCare, the state health information exchange (HIE). In addition to integrating information from various electronic health records into a centralized hub of patient health information, CurrentCare provides admission, discharge, and transfer (ADT) alerts to providers who choose to utilize this feature for their patients already enrolled in the HIE. Click here to read how CurrentCare Hospital Alerts are being utilized by Women & Infant's Neonatal Intensive Care Unit.

CMS Policy and Payment Changes Update

The Centers for Medicare and Medicaid Services recently published Revisions to Payment Policies under the Physician Fee Schedule in the Federal Register posting. Lisa Letourneau MD MPH, FACP, Executive Director Maine Quality Counts provided CS-RI with the following summary: 


Primary care and chronic care management

Medicare continues to emphasize primary care by making payment for chronic care non-face-to-face services to Medicare beneficiaries who have multiple, significant, chronic conditions (two or more) beginning in 2015. Chronic care management services include regular development and revision of a plan of care, communication with other treating health professionals, and medication management.


CMS has established a payment rate of $40.39 for CCM that can be billed up to once per month per qualified patient. CMS is finalizing its proposal to allow greater flexibility in the supervision of clinical staff providing CCM services. The proposed application of the "incident to" supervision rules were widely supported by the commenters. Payment for CCM is only one part of a multi-faceted CMS initiative to improve Medicare beneficiaries' access to primary care. Models being tested through the Innovation Center will continue to explore other primary care innovations.


Finally, CMS proposed standards for electronic health records (EHR) - specifically, a 2014- certified EHR. In response to public comments indicating that very few practices have adopted a 2014-certified EHR at this time, CMS will require the version of the certified EHR that is in use on December 31 of the prior calendar year for the EHR Incentive Programs to bill for CCM services.