May 2015  
Care Transformation Collaborative of Rhode Island

CTC in the News 

Convergence RI - May 25, 2015 


"Collaborative meets, launches pediatric care expansion" 

Providence Business News 

May 25, 2015


"R.I. health-care leaders celebrate improvements, cost savings statewide"

Providence Journal - May 21, 2015 

Rhode Island Public Radio - May 21, 2015 

Convergence RI - May 11, 2015


CTC would like to congratulate South County Family Medicine Wakefield, Nardone Medical Associates and Dr. John Chaffey on receiving NCQA Level 3 recognition. 

NCQA Corner: The Team Huddle
The NCQA 2014 PCMH Standards provide stronger emphasis on the importance of the team huddle, 
which is considered a critical factor in the MUST PASS "Practice Team" requirements. More information on this fundamental team based strategy can be found here.
PCMH Job Opportunities 

Upcoming Events

RIGEC Workshop 5 - Bridging the Gap in a Fragmented Health Care System: Safe Transitions

(Participants who attend entire workshop will receive CE credits) 

June 1, 2015  8:30 AM - 4:30 PM

Learn more and register


Public Health Grand Rounds Live Webcast - Reproductive Life Planning: A New Toolkit for Providers 

June 4, 2015 8:30 - 9:30 PM 

Learn more and register


Safe Opioid Prescribing: Maximizing Benefits and Minimizing Risks

June 6, 2015 8:30 AM - 12:30 PM 

Learn more and register


The Path to Your True North

June 11, 2015 8:30 AM - 2:00 PM

Learn more and register


Race, Ethnicity, and the Patient Centered Medical Home: Ensuring Everyone Has a Voice

June 16, 2015 1:00 - 5:00 PM 

Learn more and register

Take Charge: Register now for unique provider/patient health conference
The Rhode Island Quality Institute is sponsoring the 2015 BETTER HEALTH: It's Your Health Take Charge Conference. This unique conference brings providers and patients together and both will have the opportunity to interact with each other, as well as with the speakers.

Registration is only $10 and includes breakfast and lunch.

Learn more and register

Upcoming Meetings:

June 2, 2015 7:30 - 9:00 AM

Data and Evaluation Committee (RIQI)


June 4, 2015 7:30 - 8:30 AM           PCMH Kids Stakeholder

(301 Metro Center Blvd., Warwick)


June 9, 2015 8:00 - 9:30 AM

Nurse Care Manager Best Practice Facilitation (RIQI)


June 10, 2015 12:30 - 2:30 PM       Practice Facilitation (RIQI)


June 12, 2015 7:30 -9:00 AM

CTC Steering Committee (RIQI)


June 12, 2015 9:30 - 10:30 AM       Community Health Team Planning (RIQI)


June 15, 2015 7:00 - 8:30 AM         South County Steering

(S. County Hospital)


June 18, 2015 7:30 - 9:00 AM         Practice Transformation



June 18, 2015 3:30 - 5:00 PM 

Integrated Behavioral Health



June 22, 2015 9:00 - 10:30 AM       Program Evaluation 



June 23, 2015 7:30 - 9:00 AM           Contracting Committee



June 23, 2015 8:00 - 9:30  AM         Practice Reporting 



June 24, 2015 12:30 - 2:20 PM      Practice Facilitation 



June 26, 2015 9:30 - 10:30 AM      Community Health Team Planning (BVCHC, Pawtucket)

For meeting details or to receive a calendar invite please contact:
Cathy Sampson
CTC of Rhode Island
Rhode Island Foundation
One Union Station
Providence, RI 02903
Welcome to the Care Transformation Collaborative of Rhode Island Newsletter, where CTC shares exciting updates, news, milestones, meeting information and more.
CTC Celebrates 2014 Successes and Expansion to Pediatric Care
2014 was a year filled with growth, transformation and measurable progress for CTC. On May 21, alongside state health care leaders, at the Rhode Island Foundation CTC highlighted its successes and discussed an expansion into pediatric care. By integrating with PCMH Kids, CTC will include 10 pilot pediatric practices, giving nearly 30,000 children in Rhode Island access to patient-centered medical homes.  

Successes in 2014 include improved health of patients with diabetes, positive patient experience data that exceeds national scores in areas like provider communications, office staff communication and shared decision making, a reduction in both hospital admissions and high-risk patient emergency department visits.  

For more 2014 success stories and information about CTC,  read the 2014 Annual Report, A Bridge to Better Health
Debra Hurwitz, CTC Co-Director, speaking at the Rhode Island Foundation on May 21, 2015 
CTC Hosts Nurse Care Manager Conference: Making a Difference in Primary Care 

On May 5, 2015 CTC, together with Blue Cross and Blue Shield of Rhode Island, sponsored a full day learning session for 137 attendees. The intent of the conference, celebrated during Nurse Recognition Week, was to assist both new and experienced nurse care managers with proactively succeeding in their evolving job responsibilities. 


The event featured nurse care managers, interdisciplinary team members, population health experts and key health care Rhode Island officials. Major themes included such topics as: partnering with our health plan partners on assisting patients who are at high risk, working with the health care team, and how to assist patients of all ages with managing chronic care conditions. Such events are part of CTC's on-going efforts to provide work force development and practice transformation opportunities.

Attendees at the May 5, 2015 Nurse Care Manager Conference 
Practice Spotlight: Blackstone Valley CHC
Dr. Hussain, from BVCHC, presented at the May Practice Transformation Committee on the work that BVCHC is doing to maximize the use of the team huddle to proactively assist patients with obtaining care based on evidence based treatment guidelines. BVCHC uses a team approach and their analytics department to gather information about the patient needs before scheduled appointments. The team has blocked time to "huddle" and prepare for the day. Dr. Hussain has also offered to assist other practices who may be working on this critical team based function. She can be reached at 
[email protected]View her presentation here.
PCMH-Kids Welcomes Pilot Practices 
PCMH-Kids is funded by a grant from the Rhode Island Foundation to extend the transformation of primary care to practices serving children. After a rigorous selection process, PCMH-Kids announced the first 10 practice sites that will join the pilot cohort of the Initiative: 
  • Anchor Medical Associates
  • Coastal Hillside Family Medicine
  • Coastal Waterman Pediatrics
  • East Bay Family Health Care
  • East Greenwich Pediatrics
  • Hasbro Medicine-Pediatric Primary Care Clinic
  • Hasbro Pediatric Primary Care
  • Pediatric Associates
  • WellOne
  • Wood River Health Services
On May 13, 2015 PCMH-Kids welcomed the pilot sites who represent a range of practice sizes, geographic locations, and experience with PCMH transformation. Together, they serve approximately 30,000 covered lives, 48% of which are covered through a Medicaid Managed Care plan. 
Patient Speaker Pamela Donor and Dr. Sarah Fessler of EBCAP at PCMH-Kids Event May 13, 2015

Rollout of Nurse Care Manager Graduate Certification Program a Success   

The Nurse Care Manager Graduate Certification Program at Rhode Island College, developed with input from CTC, is the first of its kind in Rhode Island. Approved last year, the program consists of five courses (15 total credits) taught in the evenings, some using a hybrid course design that blends standard and online learning. The curriculum includes Nurse Care Management, Healthcare Systems, Professional Role Development, Epidemiology and Public Health Science courses. 


Check out CTC's 2014 Annual Report to read a profile on one of the program's current students, a CTC Nurse Care Manager. 

CurrentCare News Bites
New CurrentCare Guidebook Available!
For the first time, providers can now see EKG Imaging Reports from Kent Hospital and Women & Infants Hospital live, as soon as they are posted in CurrentCare. For more information on all of the patient information available in CurrentCare, check out the new CurrentCare Guidebook.

Coming Up: CurrentCare Quick Bites
CurrentCare Quick Bites is a lunchtime series of 15-minute updates about CurrentCare. Experts, Peggy Menna and Andrea Levesque will present information about new and updated features and helpful tips about using CurrentCare in practices. The series will start at 12:15 to give participants time to grab lunch and dial in. We hope you'll join us!

Topic: Enrollment - Panel Analysis and Enrollment Campaign 
Wednesday, June 3, 2015 12:15 - 12:30 pm 
Register here
Topic: How to Print from the CurrentCare Viewer
Wednesday, July 8, 2015 12:15 - 12:30 pm
Register here

Have a question you'd like us to address on any of these sessions? Send us an email a[email protected], with the subject "CurrentCare Quick Bites." 

It's never too late to sign up for CurrentCare
Nearly half of all Rhode Islanders are already enrolled in CurrentCare, including 34 percent of all Rhode Island Medicaid patients. CurrentCare is striving to increase this number.

If practices need new forms, posters (available in English or Spanish) or a pickup of completed forms, please contact the Rhode Island Quality Institute at 888.858.4815 or [email protected].

Special: Practices can contact their Relationship Manager to set CurrentCare enrollment and/or utilization goals for 2015 and be entered into a raffle to win a Kindle Fire!
The Well Visit Planner: An online tool to help families prepare for children's checkups

Health care providers often have only 15 to 20 minutes to actually spend with a child during a well-visit checkup. As children grow, there are many topics about prevention and health promotion that families may want to discuss at each visit. 


The Well Visit Planner is a free tool to help families identify specific questions and topics that they want to get answered during upcoming checkups. The tool allows families to: 

  • Explore issues and needs important to the health of children and families.
  • Learn about developmental milestones and important topics for children ages 0 to 6 years old. This includes information about growth, development, and language skills.
  • Create a "Visit Guide" based on questions identified as being important.
  • Sharing questions and concerns in the "Visit Guide."