All practices participating in the Medicaid Pediatric Healthcare Recovery Program (Year 2) are encouraged to attend the February 2 (moved from January 5), Improving Child Health in RI (formerly PCMH Kids Stakeholder) meeting where new KIDSNET immunization reports will be shared with practices. (Zoom information below.)
Dr. Beata Nelken kicked off the November Best Practices in Team-Based Care meeting by sharing best practice strategies used at Jenks Park Pediatrics to improve lead screening, which included purchasing a van to assist patients with transportation needs to their appointments, setting up an in-office lead screening workflow, and partnering with Lifespan labs.
The December learning collaborative was a part 2 discussion on implicit bias with a focus on building psychological safety in diverse health care teams to promote maximum effectiveness and improve equity for patients. An impressive panel discussion was moderated by Patricia Flanagan, MD. Panelists included Rob Jones, Chief Empowerment Officer of T.
The entire November Clinical Strategy Committee (CSC) meeting focused on the Next Generation Affordability Standards led by Cory King, OHIC Chief of Staff. A good deal of discussion occurred, including key highlighted areas of child and adolescent behavioral health spend, health equity, professional provider contract review, and a recalibration of primary care APM targets.
In December, CTC-RI was pleased to support the 1st in-person convening of the Rhode to Equity (R2E) project which began in July 2021. RIDOH and EOHHS are funders and key partners in this project. There were 6 multi-stakeholder teams coming together to address health inequities in their communities.
Our 3rd Asthma Essentials ECHO brought together 40 participants and was facilitated by Patricia Flanagan, MD.
The Care + Community + Equity (CCE) program held a best practice sharing meeting to hear presentations from participating practices on their projects to improve pre-diabetes and diabetes care delivery. Clinical teams from Tri-County Community Action Program and Comprehensive Community Action Program (CCAP) presented on their progress made in this CCE incentive area.
Use of standardized measures: Beginning in 2024, standardized measures will be required for PCMH. A standardized measure captures data from the entire calendar year before the submission year; thus, for 2024 the reporting period will be January 1–December 31, 2023, unless stated otherwise in the measure specification.
The RI Office of the Health Insurance Commissioner (OHIC) convenes a workgroup every year to review and update the aligned measure set that is used to measure primary care performance. OHIC has published the aligned measure set (updated 9/28/22) effective for insurer-provider contractual periods starting on or after 1/1/23 for contracts subject to amendment or renewal on or after that date (
Improving Population Health / Reducing Low-Value Care in Primary Care through Professional Use of Continuous Glucose Monitoring (Pro CGM)
The November Health Transitions of Care learning collaborative had 16 participants join to listen and share patient and family experience, available resources, and best practices around what is helpful in improving care coordination for youth that are transitioning from pediatric to adult care.
The mission of CTC-RI is to support the continuing transformation of primary care in Rhode Island as the foundation of an ever-improving integrated, accessible, affordable, and equitable health care system. CTC-RI brings together critical stakeholders to implement, evaluate and spread effective multi-payer models to deliver, pay for and sustain high-quality, comprehensive, accountable primary care.