Join us for the 2018 CTC-RI Annual Learning Collaborative: Building Capacity for Comprehensive Primary Care

Thursday, November 1, 2018 | 7:30 am–3:30 pm The Crowne Plaza Hotel | 801 Greenwich Ave., Warwick, RI 02886

CME Accreditation This activity has been planned and implemented in accordance with the Essential Areas and policies of the Jointly Provided By Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Warren Alpert Medical Program Description School of and CTC-RI. The Primary care practices and key stakeholders often face challenges in identifying how to best Warren Alpert is accredited meet patient needs and improve population health. This learning collaborative is designed to by the ACCME to provide continuing medical assist attendees with identifying, developing and utilizing comprehensive primary care strategies education for physicians. to improve care and lower costs. Key components of the morning program include sessions on recognizing what patients want, building community partnerships, strengthening team based Credit Designation care, collaborating with specialists, and learning about options for state-wide initiatives to The Warren Alpert Medical School designates improve population health. The afternoon sessions will focus on obtaining and using information this live activity for a maximum of 6.5 AMA to improve care and population health including Neighborhood risk scores, Consumer PRA Category 1 Credits™. Physicians should Engagement Platform, KIDSNET and Medical Home Portal. Interactive Program on What Patients only claim credit commensurate with the What will be repeated to increase options for team participation. extent of their participation in the activity. RI Specific: This program qualifies for 3.0 Target Audience hours CME Credit in Risk Management All CTC-RI practices, past and present, are welcomed to attend the morning session, or the or End of Life/Palliative Care, two of the afternoon session, or the full day program. We invite Practice Leadership, Providers, Nurse Care required areas of section 6.0; 6.2.1 RI Managers, Care Coordinators, Behavioral Health Staff, Practice Managers, Medical Assistants, CME re-licensure requirements. Community Health Workers, and CTC stakeholders to come learn as a team!

Nursing CEUs Learning Objectives This activity has been submitted to the At the end of the session, attendees will be able to identify strategies the primary care team can Northeast Multi-State Division for approval use to: to award contact hours. The Northeast 3 Provide comprehensive primary care Multi-State Division is accredited as an 3 Improve population health approver of continuing nursing education by 3 Obtain and use information to improve performance to provider better care and lower costs the American Nurses Credentialing Center's Commission on Accreditation. Maine, Registration Information New Hampshire, New York, , The agenda is designed to accommodate attendees work schedules and interests. The morning Vermont Nurses Associations are members session has a Clinical focus on improving population health using a team based approach; the of the Northeast Multi-State Division of the afternoon session focus is on obtaining and using information for performance improvement. American Nurses Association. Attendees may choose to register for: morning only (7:30–12:30), afternoon only, or full day.

Social Worker CEUs For More Information, Contact Care Transformation Collaborative Rhode Island An application has been submitted to the Phone: 401-519-3919| E-mail: [email protected] NASW, Rhode Island. Determination of credits is pending. We Gratefully Acknowledge the Support of: Care Transformation Collaborative - Rhode Island (CTC-RI) Brown University Healthcentric Advisors Rhode Island Health Plans: Blue Cross & Blue Shield of Rhode Island, Neighborhood Health Plan To Register: of Rhode Island, Tufts Health Plan & United Health https://www.eventbrite. Rhode Island Health Center Association com/e/2018-ctc-ri-annual-learning- Shri Bark collaborative-building-capacity-for- comprehensive-primary-care- Rhode Island Department of Health tickets-48802157567 University of Rhode Island - Rhode Island Geriatric Education Center Building Capacity for Comprehensive Primary Care

Morning Session 11:20–11:35 Break 7:00–7:30 am Registration 11:35–12:30 pm Concurrent Breakout Session III Financial Incentives and the Delivery of 7:30–7:40 Welcome: Building Capacity for Better Care, Low- and High-Value Care Lower Costs: Care Transformation Orestis Panagiotou, MD, PhD Collaborative Perspective Debra Hurwitz, MBA, BSN, RN Building Capacity for Goals of Care Executive Director, CTC-RI Conversations in Serious Illness ⌂ Jennifer M. Ritzau, MD & 7:40-7:50 Building Capacity: Better Care Lower Cost: Maria Aileen Soriano-Pisaturo, MD Rhode Island Office of the Health Insurance Better Care and Lower Costs: Partnering in Commissioner Perspective the Community to Meet Health Related Marie L. Ganim, PhD, MPA Social Needs Commissioner, OHIC Jeannine Casselman, JD, MA 7:50-8:00 Better Care Lower Cost: Michael Fine, MD State Innovation Model Perspective Scott Hewitt, MA Marti Rosenberg, MA Partnering with Schools: Suicide Prevention Project Director, SIM Test Grant Program: Working with Schools and Primary Care 8:00–9:15 What Patients Want Jeffrey Hill, MS & Jennifer W. Jencks, PhD Randi Redmond Oster, MBA 12:30–1:30 Lunch and Visit Exhibitors 9:15–9:30 Break

9:30–10:25 Concurrent Breakout Session I Afternoon Session Building Integrated Behavioral Health 1:30–2:30 Concurrent Breakout Session IV Capacity: Partnering with Psychiatry Using Information to Improve Care: Mary Jean Mork, MSW Neighborhood Risk Scores and Payment ⌂ Better Care: Providing What Patients Want I Φ Arlene S. Ash, PhD & Elaine Fontaine, BS Randi Redmond Oster, MBA Better Care: Providing What Patients Want I Φ Not Your Mama's Care Team: Innovative Randi Redmond Oster, MBA Approaches to Patient Centered Care Using the Rhode Island Medical Home Portal Eilidh Pederson, MPH for High Risk Children and Families ⌂ The First 1,000 Days: How New York State Kathleen N. Kuiper, BS Medicaid is Investing in Early Childhood Development 2:30–3:30 Concurrent Breakout Session V Kate Breslin, MPH, MCRP Using a Health Information Exchange for Advance Care Planning and Assessing 10:25–11:20 Concurrent Breakout Session II Patient Social Determinants of Health ⌂ Building Team Capacity: Scott W. Young, MS, BS Utilizing Provider/RN Co-Visits, Pharmacy Better Care: Providing What Patients Want II Φ Technicians, & Patient Navigators Randi Redmond Oster, MBA Wendy A. Chicoine, MSN, RN & Tara Higgins, PharmD, CDOE & Insights Into Your Patient Population Sarah Thompson, PharmD, CDOE From KIDSNET Ellen Amore, MS Better Care: Providing What Patients Want II Φ Randi Redmond Oster, MBA 3:30 pm Adjourn A Community Approach to Women's Health Jodi B. Stack, MSN, BBA, RN ⌂ This session qualifies CME Credit in Risk Management or End Recognizing and Managing Patients with of Life/Palliative Care, two of the required areas of section 6.0; Trauma in the Primary Care Setting 6.2.1 RI CME re-licensure requirements Adam Pallant, MD, PhD & Φ  Attendees registering for this session need to sign up for Elliot M. Ruggles, LCSW, PhD Sessions I and II. Building Capacity for Comprehensive Primary Care

Guest Speakers Ellen Amore, MS Jennifer W. Jencks, PhD KIDSNET Manager Director of Access | Bradley Hospital | East Providence, RI Rhode Island Department of Health | Providence, RI Assistant Director of Lifespan's Pediatric Behavioral Health Arelene S. Ash, PhD Emergency Services | Lifespan | Providence, RI Professor, Department of Quantitative Health Sciences Kathleen N. Kuiper, BS University of Massachusetts Medical School | Worcester, MA Community Health Worker | RIPIN Resource Coordinator Kate Breslin, MPH, MCRP Rhode Island Department of Health | Providence, RI President and CEO Mary Jean Mork, MSW Schuyler Center for Analysis & Advocacy | Albany, NY Program Director Jeannine Casselman, JD, MA Maine Medical Center | Portland, ME Program Manager Randi Redmond Oster, MBA Medical Legal Partnership Boston (MLPB) | Boston, MA President| Help Me Health | NYC, NY Wendy A. Chicoine, MSN, RN Adam Pallant, MD, PhD Adjunct Professor | School of Nursing Clinical Director, Brown University Health Services Director of Clinical Education and Practice Advisor Associate Professor of Pediatrics, Clinician Educator Providence Community Health Centers |Providence, RI Warren Alpert Medical School, Brown University | Providence, RI Michael Fine, MD Orestis Panagiotou, MD, PhD Senior Population Health & Clinical Services Officer Assistant Professor of Health Services, Policy & Practice (Research) Community Health Care, Inc. | Pawtucket, RI Brown University School of Public Health | Providence, RI Chief Health Strategist | City of Central Falls | Central Falls, RI Eilidh Pederson, MPH Elaine Fontaine, BS Vice President Chief Operating Officer Medical Group Management & Population Health Rhode Island Quality Institute (RIQI) | Providence, RI Brattleboro Memorial Hospital | Brattleboro, VT Marie L. Ganim, PhD, MPA Jennifer M. Ritzau, MD Clinical Assistant Professor of Health Services, Policy, & Practice Assistant Professor of Medicine, Clinician Educator Brown University School of Public Health | Providence, RI Warren Alpert Medical School, Brown University Commissioner, Office of the Health Insurance Commissioner Medical Director/Director of Palliative Care Co-Chair, Health Insurance Advisory Council (HIAC) Hope Hospice & Palliative Care Rhode Island | Providence, RI State of Rhode Island | Cranston, RI Marti Rosenberg, MA Scott Hewitt, MA Project Director Teaching Associate in Family Medicine State Innovation Model Test Grant | Providence, RI Warren Alpert Medical School of Brown University Elliot M. Ruggles, LCSW, PhD Providence, RI Sexual Harassment & Assault Resources & Education Community Health Team Manager (SHARE) Advocate Blackstone Valley Community Health Center | Pawtucket, RI Brown University Health Services | Providence, RI Tara Higgins, PharmD, CDOE Maria Aileen Soriano-Pisaturo, MD Director of Clinical Pharmacy and Patient Care Services Director of Palliative Care | Care | Warwick, RI Rhode Island Primary Care Physicians Corporation Cranston, RI Jodi B. Stack, MSN, BBA, RN Chief Nursing Officer & Vice President, Patient Care Services Jeffrey Hill, MS Brattleboro Memorial Hospital | Brattleboro, VT Violence and Injury Prevention Program Manager Rhode Island Department of Health| Providence, RI Sarah Thompson, PharmD, CDOE Director of Clinical Services Debra Hurwitz, MBA, BSN, RN Coastal Medical Corporation | Providence, RI Teaching Associate in Family Medicine Warren Alpert Medical School, Brown University Scott W. Young, MS, BS Executive Director Senior Director, Strategy and Growth Care Transformation Collaborative Rhode Island (CTC-RI) Rhode Island Quality Institute (RIQI) | Providence, RI Providence, RI Building Capacity for Comprehensive Primary Care

Planning Committee

Randi Belhumeur, MS, RD, LDN, CDOE Andrea B. Goldstein, MPA Program Administrator Coordinator, Office of Continuing Medical Education Division of Community, Health and Equity Warren Alpert Medical School of Brown University Rhode Island Department of Health | Providence, RI Providence, RI

Joanne Bilotta, BS Suzanne R. Herzberg, PhD, OTR/L Principal, Joanne Bilotta Strategic Solutions | Providence, RI Clinical Assistant Professor of Family Medicine Board Member, Rhode Island Business Group on Health Warren Alpert Medical School of Brown University President, Exigent Key Director of Transformation Brown Primary Care Transformation Initiative | Providence, RI Monica Broughton, MPH Clinical Quality Management Analyst Colleen A. Polselli, BA, BS Blue Cross & Blue Shield of Rhode Island | Providence, RI Special Needs and Disability Program Manager Rhode Island Department of Health | Providence, RI Candice B. Brown, BS Program Coordinator Putney Pyles, BSN, RN, PCMH CCE Care Transformation Collaborative Rhode Island Senior Program Coordinator Providence, RI Healthcentric Advisors | Providence, RI

Linda Cabral, MM Marti Rosenberg, MA Project Manager Project Director Care Transformation Collaborative Rhode Island State Innovation Model Test Grant | Providence, RI Providence, RI Maria Sullivan, BS Melissa Campbell, MPH Director, Office of Continuing Medical Education Health Systems Manager Warren Alpert Medical School of Brown University American Cancer Society, Inc. | Warwick, RI Providence, RI

Susanne Campbell, RN, MS, PCMH, CCE (Course Director) Siana Wood, RN, BSN Senior Project DIrector Risk Management Coordinator Care Transformation Collaborative Rhode Island Landmark Medical Center | Woonsocket, RI Providence, RI Pano Yeracaris, MD, MPH (Course Director) Karen D'Antonio, BS, RN, CDOE Adjunct Assistant Professor of Family Medicine Senior Program Coordinator Warren Alpert Medical School of Brown University Healthcentric Advisors | Providence, RI Chief Clinical Strategist Care Transformation Collaborative Rhode Island Mary E. Evans, BA Providence, RI Chief Operating Officer Rhode Island Health Center Association | Providence, RI

Christine Ferrone, MS Program Director, Rhode Island Geriatric Education Center University of Rhode Island | Kingston, RI

To Register: https://www.eventbrite.com/e/2018-ctc-ri-annual-learning-collaborative- building-capacity-for-comprehensive-primary-care-tickets-48802157567