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Advancing Integrated Primary Care: Innovations at Work
Primary care practices and key stakeholders often face challenges in identifying how to work together to best meet patient needs, improve population health and improve clinician well-being. This learning collaborative is designed to assist attendees with identifying, developing and utilizing strategies to advance integrated primary care and improve patient and family outcomes. Key components of the program include sessions on strengthening team based, care, collaborating with specialists, and developing sustainable population health initiatives.
Target Audience
All CTC-RI practices, past and present, are welcomed to attend the morning session, or the afternoon session, or the full day program. We invite Practice Leadership, Providers, Nurse Care Managers, Care Coordinators, Behavioral Health Staff, Practice Managers, Medical Assistants, Community Health Workers, and CTC stakeholders to come learn as a team!
Learning Objectives
At the end of the session, attendees will be able to identify strategies the primary care team can use to:
- Provide comprehensive primary care
- Improve population health
- Assist children, individuals and families with substance use disorders
Morning Session
| 7:00–7:30 am | Registration |
| 7:30–7:40 | Welcome—Innovations at Work: Care Transformation Collaborative Perspective Debra Hurwitz, MBA, BSN, RN Executive Director, CTC-RI |
| 7:40-7:50 | Innovations at Work: Rhode Island Office of the Health Insurance Commissioner Perspective Marie L. Ganim, PhD, MPA Commissioner, OHIC |
| 7:50-8:00 | Innovations at Work: Working with Community: Rhode Island Department of Health Perspective Ada Amobi, MD, MPH Rhode Island Department of Health |
| 8:00–9:15 | Supporting Population Health Through Team-Based Practice Re-Design and Broad Community Partnerships Somava Saha, MD, MS & Paul Woods, MD, MS, CCFP |
| 9:15–9:30 | Break |
| 9:30–10:30 | Concurrent Breakout Session I Innovations in Primary Care Integrated Psychiatry Nelly Burdette, PsyD & Jonathan Kole, MD, MBe Innovations in Working with Specialists: High Value Care Coordination M. Carol Greenlee, MD, FACP, FACE Population Health Breakout Somava Saha, MD, MS Innovations in Pediatric Care and Payment: Family-Based Recovery Care Suzanne C. Brundage, MSc |
| 10:30–11:30 | Concurrent Breakout Session II Innovations in Pediatric Care: Recovery-Friendly Pediatric Practice—NH Model |
| 11:30–11:50 | Break |
| 11:50–12:50 pm | Concurrent Breakout Session III Practice Innovations: Annual Wellness Visits Claire M. Haynes, BSN, RN & Susan Whittaker, CPC, CPMA Innovations in Leadership: Practical Interventions to Improve Clinician Well-Being Nicolas S. Nguyen, MD Innovations in Primary Care Payment: Capitation Michael W. Cropp, MD, MBA & Fuad Sheriff, MD, FACP Innovations in Care: Assessing and Treating Anxiety in Pediatric Population Hannah E. Frank, MA & Jennifer B. Freeman, PhD |
| 12:50–1:40 | Lunch and Visit Exhibitors |
Afternoon Session
| 1:40–2:40 | Concurrent Breakout Session IV Innovations in Community: Acute Care at Home Model—Partnering with Paramedics Ruth E. Scott, RN, MHA, CCM & Ana Tuya Fulton, MD, FACP, AGSF RI's Statewide Health Information Technology Strategic Roadmap and Implementation Plan Amy Zimmerman, MPH & Melissa Lauer, MPA Children and Recovering Mothers: A Collaborative Approach Shara O. Tarule, APRN & Susan Albertini White, MS, FNP-BC |
| 2:40–3:40 pm | Concurrent Breakout Session V Re-Defining the Recovery—What Matters Most Lisa McManaman, RN Innovations in Using HIE to Assist with Transitions of Care Jennifer C. Cormier, MEd, RN & Margaret M. Menna, MBA Innovations in Care: CODAC and Pain Solutions Frank Sparadeo, PhD & Laura Levine, LMHC, LCDCS, LCDP CAGS Innovations in Care: Conscious Discipline—Skills to Help Parents Cope Cheryl Cotter, MEd |
| 2:40–3:40 pm | Adjourn |
Registration Information
The agenda is designed to accommodate attendees work schedules and interests. The morning session has a Clinical focus on improving population health using a team based approach; the afternoon session focus is on obtaining and using information for performance improvement. Attendees may choose to register for: morning only (7:30–12:30), afternoon only, or full day.
For More Information, Contact Care Transformation Collaborative Rhode Island
Phone: 401-519-3919| E-mail: CTC-RI@ctc-ri.org
Guest Speakers
Ada Amobi, MD, MPH
Physician Lead, Health Equity Institute
Rhode Island Department of Health | Providence, RI
Jeffrey Bratberg, PharmD, FAPhA
Clinical Professor
University of Rhode Island College of Pharmacy | Kingston, RI
Nelly Burdette, PsyD
Associate Vice President, Integrated Behavioral Health
Providence Community Health Centers
Senior, IBH Program Leader | CTC-RI | Providence, RI
Suzanne C. Brundage, MSc
Director, Children's Health Initiative
United Hospital Fund | New York, NY
Steven H. Chapman, MD
Assistant Professor of Pediatrics
Geisel School of Medicine at Dartmouth
Medical Director, Boyle Community Pediatrics Program
Children's Hospital at Dartmouth | Dartmouth, NH
Medical Director, General Pediatrics Clinic
Dartmouth-Hitchcock Medical Center | Lebanon, NH
Vice President, New Hampshire Pediatric Society
Jennifer C. Cormier, MEd, RN
Senior Quality Improvement Advisor
Rhode Island Quality Institute | Providence, RI
Cheryl Cotter, MEd
Director of Programs | The Autism Project | Johnston, RI
Michael W. Cropp, MD, MBA
President and Chief Executive Office
Independent Health | Buffalo, NY
Christopher Durigan, PharmD, BCPS, CDOE
Director of Pharmacy
Thundermist Health Center | Woonsocket, RI
Hannah E. Frank, MA
House Staff Officer in Psychiatry and Human Behavior
Warren Alpert Medical School, Brown University
Pediatric Anxiety Research Center
Bradley Hospital | Providence, RI
Jennifer B. Freeman, PhD
Professor of Psychiatry & Human Behavior (Research)
Warren Alpert Medical School, Brown University
Director of Research & Training, Pediatric Anxiety Research Center
Bradley Hospital | Providence, RI
Ana Tuya Fulton, MD, FACP, AGSF
Associate Professor of Medicine, Clinician Educator
Associate Professor of Psychiatry & Human Behavior, Clinician Educator
Warren Alpert Medical School, Brown University
Medical Director, Integra Community Care Network, LLC | Providence, RI
Executive Chief of Geriatrics and Palliative Care
Care New England | Warwick, RI
Marie L. Ganim, PhD, MPA
Clinical Assistant Professor of Health Services, Policy, & Practice
Brown University School of Public Health | Providence, RI
Commissioner, Office of the Health Insurance Commissioner
Co-Chair, Health Insurance Advisory Council (HIAC)
State of Rhode Island | Cranston, RI
Holly Gaspar, MEd, MPH
Child Life Specialist | Pediatric Cystic Fibrosis Team
Dartmouth-Hitchcock Medical Center | Lebanon, NH
M. Carol Greenlee,MD, FACP, FACE
Western Slope Endocrinology, LLC. | Grand Junction, CO
Claire M. Haynes, BSN, RN
Senior Director of Nursing | Thundermist Health Center | Providence, RI
Debra Hurwitz, MBA, BSN, RN
Teaching Associate in Family Medicine
Warren Alpert Medical School, Brown University
Executive Director, CTC-RI | Providence, RI
Kristy Helscel, MPH
Project Specialist | Partners HealthCare | Boston, MA
Jonathan Kole, MD, MBe
Clinical Assistant Professor of Psychiatry and Human Behavior
Warren Alpert Medical School, Brown University | Providence, RI
Primary Care Psychiatrist
Providence Community Health Centers | Providence, RI
Melissa Lauer, MPA
Health Information Technology Specialist
RI Executive Office of Health and Human Services | Cranston, RI
Laura Levine, LMHC, LCDCS, LCDP, CAGS
Program Director, CODAC | East Providence, RI
Coordinator of Psychiatric Services | CODAC
Kerry E. McBride
Conference Manager and Project Specialist
John D. Stoeckle Center for Primary Care Innovation
Massachusetts General Hospital | Boston, MA
Lisa McManaman, RN
Rhode Island Hospital | Providence, RI
Rhode Island Action Coalition for Whole Health
Margaret M. Menna, MBA
Senior Training & Education Specialist
Rhode Island Quality Institute | Providence, RI
Nicolas S. Nguyen, MD
Clinical Instructor, Medicine | Harvard Medical School
Senior Medical Director
Physician Recruitment, Development and Experience
Beth Israel Deaconess HealthCare | Boston, MA
Luciana Petcu
Project Coordinator | Partners HealthCare | Boston, MA
Linda J. Rowe-Varone, PharmD, BCPP
Pharmacy Manager | Genoa | Providence, RI
Ruth Scott, E. RN, MHA, CCM
Senior Director, Population Health Management
Care New England—Integra Community Care Network, LLC
Providence, RI
Fuad Sheriff, MD, FACP
Amherst Medical Associates | Amherst, NY
Frank Sparadeo, PhD
Director of Clinical Research | Calmar Pain Relief, LLC
West Warwick, RI
Somava Saha, MD, MS
Vice President, Institute for Healthcare Improvement (IHI)
Harvard T.H. Chan School of Public Health | Boston, MA
Shara O. Tarule, MSN, FNP-BC, APRN
Chittenden Clinic OTP | South Burlington VT
Susan Albertini White, MS, FNP-BC
Adjunct Instructor
University Of Vermont College of Nursing
Nurse Practitioner, NeoMed Follow-up Clinic
Vermont Children’s Hospital | Burlington, VT
Susan Whittaker, CPC, CPMA
Senior Quality Program Coordinator
HealthCentric Advisors | Brunswick, ME
Paul Woods, MD, MS, CCFP
President & CEO
London Health Sciences Centre | London, Ontario, Canada
Amy Zimmerman, MPH
RI State HIT Coordinator
RI Executive Office of health and Human Services | Cranston, RI
Planning Committee
Joanne Bilotta, BS
Principal, Joanne Bilotta Strategic Solutions | Providence, RI
Board Member, Rhode Island Business Group on Health
President, Exigent Key
Candice B. Brown, BS
Program Coordinator, CTC-RI | Providence, RI
Linda Cabral, MM
Project Manager, CTC-RI | Providence, RI
Susanne Campbell, RN, MS, PCMH, CCE (Course Director)
Senior Project Director, CTC-RI | Providence, RI
Karen D'Antonio, BS, RN, CDOE
Senior Program Coordinator
Healthcentric Advisors | Providence, RI
Mary E. Evans, BA
Chief Operating Officer
Rhode Island Health Center Association | Providence, RI
Christine Ferrone, MS
Program Manager, Rhode Island Geriatric Education Center
University of Rhode Island | Kingston, RI
Andrea B. Goldstein, MPA
Coordinator, Office of Continuing Medical Education
Warren Alpert Medical School, Brown University | Providence, RI
Suzanne R. Herzberg, PhD, OTR/L
Clinical Assistant Professor of Family Medicine
Warren Alpert Medical School of Brown University
Director of Transformation
Brown Primary Care Transformation Initiative | Providence, RI
Kim Kozlosky, RN, BSN
Clinical Support Manager
Rhode Island Health Center Association | Providence, RI
Margaret M. Menna, MBA
Senior Training & Education Specialist
Rhode Island Quality Institute | Providence, RI
Colleen A. Polselli, BA, BS
Special Needs and Disability Program Manager
Rhode Island Department of Health | Providence, RI
Tinisha Richards, BS
ACO Account & Contract Manager
UnitedHealthcare | Warwick, RI
Maria Sullivan, BS
Director, Office of Continuing Medical Education
Warren Alpert Medical School, Brown University | Providence, RI
Nancy Sutton, MS, RD
Chief, Center for Chronic Care and Disease Management
Rhode Island Department of Health | Providence, RI
Siana Wood, RN, BSN
Grievance and Appeals Clinical Behavioral Specialist
Neighborhood Health Plan of Rhode Island | Providence, RI
Pano Yeracaris, MD, MPH (Course Director)
Adjunct Assistant Professor of Family Medicine
Warren Alpert Medical School of Brown University
Chief Clinical Strategist, CTC-RI | Providence, RI
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Warren Alpert Medical School of Brown University and CTC-RI. The Warren Alpert Medical School is accredited by the ACCME to provide continuing medical education for physicians.
Credit Designation
Physicians: The Warren Alpert Medical School designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
RI Specific: This program qualifies for 4.0 hours CME Credit in Opioid Pain Management/Chronic Pain Management, one of the required areas of section 6.0; 6.2.1 RI CME re-licensure requirements.
Nurses: This activity has been submitted to the Northeast Multi-State Division for approval to award contact hours. The Northeast Multi-State Division is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. Maine, New Hampshire, New York, Rhode Island, Vermont Nurses Associations are members of the Northeast Multi-State Division of the American Nurses Association.
Social Workers: This activity has been approved by the NASW, Rhode Island for 6.5 CE's, Authorization #: RI-7541, valid until 4/30/21.
Available Credit
- 6.50 AMA PRA Category 1 Credit™The Warren Alpert Medical School of Brown University is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
- 6.58 ANCCThis continuing nursing education activity was approved by the Northeast Multistate Division, an accredited provider by the American Nurses Credentialing Center’s Commission on Accreditation.
- 6.50 AttendanceParticipants will receive a Certificate of Attendance stating this program is designated for AMA PRA Category 1 Credit™. This credit is accepted by the AAPA and AANP.