Care Transformation Collaborative of RI
News & Updates | May 2022

For many children, adolescents, young adults — it's a stressful world. Rates of adolescents reporting thoughts of sadness, symptoms of depression, suicidal ideation, and suicide attempts have been rising, with the pandemic exacerbated these trends.

After piloting our CTC-RI Pediatric IBH program, our new evaluation results are overwhelmingly clear. In-practice screenings find behavioral health issues before they develop into full blown problems, or even find adolescents who said they "felt fine" but scores indicated suicidal thoughts or intent. Screening and handoffs to clinicians helped patients and families normalize mental health care, and importantly, IBH services helped patients deal with depression, anxiety, bullying, suicidal ideation, and school anxiety. Read more.

May’s Behavioral Health Technical Assistance learning session focused on Behavior Plan Basics, highlighting the core elements of effective behavior plans, common pitfalls and reasons plans fail, along with sample behavior plans, contracts, and key resources. Practices participating in the Medicaid Pediatric Healthcare Recovery Program are eligible for additional funding by having a staff member attend a BH TA learning session and complete an evaluation by May 31. Read more.

Please join us for our June 10 Quarterly Breakfast of Champions (7:30-9:00am)! Presentations will highlight important RI work being done to improve care for people with diabetes from clinical, community/clinical and patient perspectives.

We are excited to welcome the following presenters:
  • Diana Mercurio, BS, RPh, CDE, CDOE, CVDOE, RI Physicians Corporation Primary Care
  • Michael Poshkus, MD and Jessica Ryan, PharmD, BCACP, Thundermist Health Center 
  • Jean Taylor, RN, BSN, CDOE, CCM, Director Clinical Programs Population Health, Care New England Integra ACO
  • Erin DiBacco, Director of Strategic Growth and Business Development, Community Servings

Please register to receive access to this virtual meeting and submit questions to the panelists. CME credits are available through AAFP for physicians, PAs, RNs, and NPs.

With our second cohort of practices wrapping up last month, 21 practice sites have now officially completed our 12-month technology-focused learning collaborative to improve care for patients with chronic conditions. High-level results show improved access to care, patient satisfaction, and reduction in ED/hospitalizations. Read more.

As we move into the second year of the UnitedHealthcare-funded Integrated Behavioral Health (IBH) Learning Collaborative, CTC-RI would like to recognize the 11 practices graduating and 5 new practices joining. Graduating practices recently showcased their work, from developing workflows around anxiety or other BH screening, to piloting groups for stress management, to piloting tools to use during virtual BH appointments.

CTC-RI is helping practices achieve NCQA BH Distinction as a gold standard of IBH delivery. Read more.

The Rhode to Equity project kicked off in July 2021 and will move into its 2nd year this summer. This month, the 6 participating teams came together to learn about change management using the SWITCH framework, which includes three steps: (1) direct the rider; (2) motivate the elephant; and (3) shape the path. Teams practiced applying these principles to their work in addressing health inequities within their communities. Read more.
Rhode Island COVID-19 Updates

COVID-19 Cases
COVID-19 cases have been on the rise over the last month. This week (May 14), there are 527 new cases per 100,000, compared to 445 (May 7), 338 (April 30), and 235 (April 23).

COVID-19 Vaccines
As of May 18, 431,091 Rhode Islanders have received a booster vaccine (40.8%), 873,702 have completed their primary vaccine series (82.7%), and 1,036,341 are at least partially vaccinated (98.1%).
In the News
Providence Business News 
April 15, 2022
Kristin Pono Sousa, Rhode Island’s interim Medicaid program director since December of 2021, has been appointed to fill the position permanently.

“Having worked in Medicaid for over 10 years, I am committed to ensuring that the program provides access to high-quality services, fosters partnerships with all stakeholders, improves health outcomes and reduces cost growth, with a particular focus on health equity and strengthening the continuum of care for Rhode Islanders,” Sousa said. Read more.
Practice Resources
Brown Alpert Medical School: Screening and Moderated Discussion of "Cured" Film
More than 2 million elderly people in the U.S. identify as LGBTQ+ -- with many exposed to social stigma and discrimination that has led to social and health disparities. Currently, medical training does not address sex and gender medicine comprehensively. As a consequence, providers report lack of knowledge and LGBTQ+ patients report experiencing bias that discourages them from seeking care. Register for this live in-person event on June 1.

Upcoming Brown On-Demand CME Courses for Mental Health Awareness Month:
Upcoming CTC-RI Committee Meetings and Workgroups
  • May 25, 08:00-09:30AM – Practice Reporting/Practice Transformation Committee Meeting
  • May 27, 07:30-08:45AM – Board of Directors
  • June 16, 07:30-09:00AM – Quarterly Integrated Behavioral Health Committee Meeting
  • June 21, 08:00-09:30AM – Care Manager/Coordinator Best Practice Sharing
  • June 17, 07:30-09:00AM – Clinical Strategy Committee
  • June 24, 07:30-08:45AM – Board of Directors
Upcoming Learning Collaboratives and Professional Development
  • May 26, 07:30-09:00AM – Pharmacy Quarterly Learning Collaborative: Reducing Preventable Hospitalizations and ED Usage
  • June 06, 07:30-08:00AM – Virtual Coffee Breaks with Dr. Pat Flanagan & Dr. Beth Lange
  • June 10, 07:30-09:00AM – Quarterly CTC-RI Breakfast of Champions
  • June 16, 10:30-12:00PM – Rhode to Equity Momentum Session
  • June 28, 07:30-09:00AM – RI MomsPRN Cohort 3 Kickoff Meeting
  • June 28, 02:00-03:00PM – R2E CHWs Monthly Training and Networking
  • June 29, 07:30-09:00AM – Health Transition of Care Orientation Kickoff Meeting for New Practices