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Welcome Care Transformation Collaborative of R.I.

Join us on November 12th, 2015, for the CTC-RI Learning Collaborative where we celebrate a year of growth and success. Learn about our agenda for the day, thank our sponsors, and reflect on the accomplishments of 2015. With a focus on high-risk patients, transitions of care, and community health teams, we've seen significant improvements in patient outcomes. Share challenges, best practices, and aim to raise the bar together. Special guest Dr. Gus Manocchia from BCBSRI will also join us. Don't miss this opportunity to collaborate and learn from fellow healthcare providers in Rhode Island.

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Welcome Care Transformation Collaborative of R.I.

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  1. Welcome Care Transformation Collaborative of R.I. Learning CollaborativeNovember 12th 2015

  2. Welcome to the CTC-RI Learning Collaborative for 2015 • Agenda for today • Special Thanks • Planning committee • Sponsors • Housekeeping details • Don’t forget Evaluations!

  3. 2015 ….A busy year for CTC-RI • Welcomed 25 new practice • Currently CTC-RI: 73 practices; over 420 providers caring for 300k Rhode Islanders • NCQA recognition and PCMH transformation • Focus on high risk • Community Health Teams • Integrated Behavioral Health • PCMHkids practice selection

  4. Focus on high risk patients • CTC-RI practices have put a lot energy and focus on identification and management of high risk patients. • Transitions of Care (3 or more ED or IP admissions in last 6 months) • Chronic Disease - uncontrolled • Health plan reported high risk

  5. CTC Cohort 1 vs Comparison IP and ED Utilization Rates

  6. CTC Cohort 2 vs Comparison IP and ED Utilization Rates

  7. CTC Transition vs Comparison IP and ED Utilization Rates

  8. Quality

  9. Patient Experience Communication with Providers Composite

  10. Wrap up • Take a moment to reflect on the great work being done by CTC practices —Congratulations! • Share challenges and best practices • Raise the bar • Introduce Gus Manocchia, MD from BCBSRI

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