PCMH-Kids Stakeholder

Meeting Minutes

Date: Thursday, December 1, 2016 / Start/End Time: 7:30-8:30 am
Meeting Location: 2nd floor Conf Rm, 301 Metro Center Blvd
Warwick, RI / Call-in number: (641) 715-3580 code: 133-624 (host 2345)
Meeting Information: / Attendees
Meeting Purpose/Objective: Provide ongoing strategic direction of Initiative and promote the pediatric interest in committee work and overall CTC Structure
Attachments:
·  Agenda
·  RI Department of Health Presentation
·  Pediatric Psychiatry Resource Network Presentation / Patricia Flanagan, Co-Chair
Elizabeth Lange, Co-Chair
Laura Adams
Nathan Beraha
Blythe Berger
Rajvi Broker-Sen
Joanna Brown
Michele Brown
Susanne Campbell
Charlotte Christ
Ailis Clyne
Emily Eisenstein
Ashley Fogarty
Deb Garneau
Brianna Goddard / Deb Golding
Hannah Hakim
Andree Heinl
William Hollinshead
Debra Hurwitz
Debra Lobato
Jason Lyon
Elizabeth Lowenhaupt
Adam McHugh
Meg Murray
Christopher Ottiano
Colleen Polselli
Ron Seifer
Rena Sheehan
Pano Yeracaris
Item #
/ Owner/Time / Comments / Action #
1. / B. Lange
P. Flanagan
5 minutes / Introduction and Review of Agenda
2. / All
25 minutes / Program Updates
·  The PCMH-Kids practices that were represented at the meeting reported out on the work they have been doing.
o  Coastal Narragansett Bay Pediatrics has hired a LICSW for direct counseling and coordination of care.
o  Pediatric Associates have a care coordinator, social worker and a psychologist, and are moving along towards NCQA certification.
o  Anchor Medical Associates is in the process of acquiring their third NCQA and have restructured some of their staff into new and more effective roles (i.e. repositioning the Nurse physician into a Care Coordinator position). In addition, they have repurposed work that RNs were doing to free up some of their time in more effective space, and are working on getting a cedar into the office as well.
o  Hasbro Medicine Pediatric and Hasbro Pediatric Primary Care Clinic are busy working to complete the NCQA application. Having the Cedars on site has been really helpful and rewarding to be able to show the care they provide.
·  The Behavioral Health (BH) Learning Collaborative project around improving ADHD care has been beneficial to the six out of nine PCMH-Kids practices involved. Tufts and CTC-RI have provided funding for a second BH Learning Collaborative Project to focus on post-partum depression screening.
o  More to follow when the second BH Learning Collaborative is scheduled for April 2017.
o  All practices that are interested are welcome to partake in the BH Learning Session.
Expansion Updates
·  The CTC-RI expansion for pediatric practices is happening in July of 2017.
·  There is a commitment to expand up to ten pediatric practices, but the details are still being worked out in regards to who would be eligible.
o  Questions came up in regards to the payers that practices will have to have to participate in the pediatric expansion.
o  More to follow at the next Stakeholder Meeting on 3/2/17.
High Risk Patient Updates
·  Part of the contract identifies that PCMH-Kids practices will work with the payers to define high risk patient lists.
·  A sub-group has been formed and met to work through some of the barriers of this contract item.
·  More to follow at the next Stakeholder Meeting on 3/2/17.
Department of Health-Transition of Race to the Top
·  Blythe Berger and Emily Eisenstein from the RI Department of Health updated the group with a presentation on “Race to the Top: Screening to Succeed” a project funded by the Department of Education regarding the state-wide initiative to support practices to do developmental screening using an electronic system to flow into Kids Net.
·  They will be emailing the practices for feedback and will present updates at a future PCMH-Kids Stakeholder meeting.
o  The practices that were present at the meeting went through and briefly summarized pros and cons of the Survey of Well-being of Young Children (SWYCs) and Child Health & Development Interactive System (CHADIS).
o  The group also discussed a state-wide referral system for resources for families with special population children.
Ø  The Rhode Island Quality Institute is positioned to set up such a referral system and would be interested in discussing it at a future PCMH-Kids Stakeholder Meeting.
o  The Department of Health Special Needs Office is also working on a medical home portal and would also like to present at a future PCMH-Kids Stakeholder Meeting.
3. / R. Broker-Sen
E. Lowenhaupt
30 minutes / Pedi PRN (RI Pediatric Access to Child Psychiatry) Presentation
·  Presentation from Dr. Rajvi Broker-Sen and Dr. Lowenhaupt regarding the Pediatric Psychiatry Resource Network (PRN) (previously presented as Child Psychiatry Access Program in 2014), an innovative program designed to help pediatric primary care providers meet the needs of children with behavioral health struggles.
o  Service is available to all Pediatric Primary Care Providers (PPCP’s) in the state of RI at no cost.
o  Enrollment and Survey forms were provided by Dr. Broker-Sen, and will be provided electronically to the group.
o  The program starts on December 15, 2016 and the number to call is (401) 432-1KID or (432-1543) between 8am-5pm on weekdays.
4. / B. Lange
P. Flanagan
1 minute / Next Steps
·  Next Meeting 3/2/17
o  Location Update: HealthCentric Advisors-235 Promenade St # 500-Providence
ACTION ITEM LOG /
Date Added / Action # / Assignee / Action /Status / Date
Due / Date
Closed /
12/1/16 / 1 / D. Hurwitz
B. Lange
P. Flanagan / Follow up and report back on the details of the 2017 pediatric expansion regarding practice eligibility. / 3/2/17 /

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