June 2015  
Care Transformation Collaborative of Rhode Island


CTC would like to congratulate 

MHRI Internal Medicine on receiving NCQA Level 2 recognition. 

NCQA Corner: Behavioral Health Assessment and Implementation of Evidence Based Decision Support
Dr. Ho, in her presentation on using "How's Your Health" (HYH) spoke of how her practice uses the HYH patient assessment findings to meet the NCQA standards for obtaining a depression screening population health report. 

NCQA expects practices to implement evidence based guidelines for a condition related to a mental health or substance use disorder. A summary of the NCQA standards and elements can be found here.
Practice Resources

CTC in the News 

"Whose voice is being heard? And who is listening? - ConvergenceRI - June 22, 2015 

Upcoming Events

Chronic Care and Disease Management Program Presents: E-Cigarette Use, Safety and Impact 

June 25, 2015 8:30 - 9:30 PM 

Learn more and register

Upcoming Meetings:

June 24, 2015 12:30 - 2:30 PM      Practice Facilitation (RIQI)


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


July 7, 2015 7:30-9:00 AM

Data and Evaluation (Memorial Hospital Center for Primary Care)


July 8, 2015 12:30-2:30 PM

Practice Facilitation (RIQI) 


July 10, 2015 7;30 - 9:00 AM

Steering Committee (RIQI) 


July 10, 2015 9:30 - 10:30 AM

Community Health Team Planning (RIQI) 


July 14, 2015 8:00 - 9:30 AM 

Nurse Care Manager Best Practice Sharing (RIQI) 


July 16, 2015 7:30 - 9:00 AM 

Practice Transformation (RIQI


July 16, 2015 3:30 - 5:00 PM 

Integrated Behavioral Health (RIQI)


July 20, 2015 7:00 - 8:00 AM

South County Steering (South County Hospital)


July 22, 2015 12:30 - 2:30 PM 

Practice Facilitation (RIQI)


July 24, 2015 7:30 - 9:00 AM

Board of Directors (BVCHC)


July 24, 2015 9:30 - 10:30 AM 

Community Health Team Planning (BVCHC)


July 27, 2015 9:00 - 10:30 AM

Program Evaluation (RIQI)


July 28, 2015 7:30 - 9:00 AM 

Contracting Committee (RIQI)


July 29, 2015 8:00 - 9:30 AM

Practice Reporting (RIQI) 

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.
Quality Behavioral Health is Expanding
Jeannine Audet, MD, and Susan Eagleson, MS RN PMHCNS-BC have joined the Quality Behavioral Health team in Warwick. This enables the company to extend its outpatient behavioral health coverage. Through treatment and medication management, Dr. Audet and Susan will be helping to meet the needs of Rhode Island children and adolescents. 

A number of CTC and other practices and agencies throughout RI have entered into collaborative agreements to provide these and additional BH services.If you are interested in discussing similar arrangements please contact: 401-681-4274, 
And please visit our website: qbh.ri.com
Practice Spotlight: North Kingstown Family Practice - 
Increasing Practice Understanding of Patient
Experience, Patient Agenda and Practice Population Health
Dr. Lynn Ho presented at Practice Transformation Committee about North Kingstown Family Practice's experience with using

Patients in her office enter information into HYH's web based survey that gathers information on patient needs, patient confidence level, and patient assets. HYH offers an easy to use alternative to capture data and generates system reports that can provide practices with actionable data for improvement.
CTC Practices Move Up in Developmental Contract
Effective July 1, 2015, CTC practices will advance to the next level in the developmental contract based on continued demonstration of meeting the structural elements identified in the CTC contract.

Practices that have completed Performance Year 2 will be moving into Advanced Collaborative status, the specifics of which are being finalized by the Contract Committee. Practices that entering into the CTC developmental contract in January 2015 will be staying in "Start Up "status until July 2016.

The status of practices that have achieved the next level in the developmental contract can be found here
CTC Offers Learning Webinar on Motivational Interviewing
Thanks to funding from Tufts Health Plan, CTC was able to offer an in-person presentation and remote access webinar to over 60 people on "Motivational Interviewing in Primary Care".  Nelly Burdette, Psy.D, provided information on Motivational Interviewing (MI) basics and how diabetes non-compliance can be conceptualized from a MI perspective. 

Stay tuned for the next in-person and webinar program: "Chronic Pain: Skills not Pills" which will be offered on Thursday, September 17 at RIQI 50 Holden Street Providence RI from 8:00 to 9:00 (offered in lieu of Practice Transformation Committee). A registration invitation will also be distributed to practices.
Save the Date: 9/30/15 CTC Offers Lean Training: Practice Transformation In Action
Practice transformation is one of the primary goals of both CTC and NCQA. The lean methodology is a proven mechanism for integrating analytical thinking and problem solving tools across industries. CTC is excited to offer lean training courses to practice leaders who are interested in learning about these tools and applying them in their offices. Bryan Liese, who holds a Six Sigma Black Belt, works as a Physician Practice Manager at South County Hospital Healthcare System and teaches as a lecturer at University of Rhode Island, will be the course consultant. 

Two courses will be offered focusing on different aspects of the Lean methodology and applying them to the triple aim. The first course (scheduled for 9/30/15 and will be held at Healthcentric Advisors 235 Promenade Street # 500 Providence RI) will give a high level overview of the most critical Lean tools and set the foundation for project work to begin in each practice. The second course will take a deeper dive into the Lean tools and focus on analysis, process innovation, and continuous improvement.

Each course will consist of both lecture and practicum exercises, filled with case scenarios from current practices. It is expected that the practice leaders who attend the training will use these tools to start improvement initiatives in their own practices. The Practice Facilitators will receive this training in August to help develop experts within the CTC community.

CTC (Yellow Belt) Lean Training Agenda (4hrs)
I. Introduction
    a. Introduction to Lean
    b. The DMAIC (Scientific) Method
    c. Guiding Principles of Lean
II. Value, Value Streams, and Flow
     a. Defining value in our practices
          i. Review of the 8 Wastes
     b. Value Stream Mapping
          i. VSM Activity 
     c. Root Cause Analysis
          i. 7 - M's , 5 - Why's, Fishbone Diagrams
     d. 5S theory and exercise
III. Pull
     a. Capacity management, standardized work
IV. Getting Started
     a. Issue Alternative Logs
     b. A3 Diagrams
CurrentCare Offers Enrollment Incentive to Practices
While 462,000 residents have already enrolled in CurrentCare (nearly 1 in 2), the Rhode Island Quality  Institute is looking for ways to increase this number. They are offering $100 Panera Bread gift cards to the first 10 practices that send an email to their unenrolled patients encouraging them to sign up. It's that easy!

CurrentCare, Rhode Island's health information exchange, is the number one way to share patient health information quickly and accurately. And it can save you time and money. It's that simple.

Here's what you need to do:

1. Contact RIQI to learn how to securely submit a patient panel.

2. Receive back a list of patients who are not enrolled in                   CurrentCare.          

3. Use RIQI's email template, that includes a link to the                      enrollment form. 

4. Email the message to patients who have not enrolled.

To get started, contact Brian Miller at 401-276-9141 x 286, or [email protected]