An expert on the Care Transformation Collaborative of Rhode Island (CTC), a patient-centered medical home initiative managed by UMass Medical School, will present on creating community health teams to help patients who have high-cost, complex needs at the Patient-Centered Medical Home Congress, sponsored by the National Committee for Quality Assurance (NCQA) Oct. 7-9 in Chicago.
Susanne Campbell, RN, MS, PCMH CCE, a senior project director in the Office of Program Development within UMass Medical School’s Commonwealth Medicine division, will present “Getting Started in Your Neighborhood: Piloting Community Health Teams through a Multi-Payer Approach” from 1:35 to 2:35 p.m. Oct. 9. In her role, Campbell provides project management expertise to CTC.
The session will inform primary care practices how to build a medical neighborhood by creating a community health team to provide behavioral health and social support services to patients with high-cost, complex care needs. CTC used a multi-payer approach to pilot and evaluate two community health teams in two diverse areas of Rhode Island.
Roberta Goldman, PhD, a clinical professor of Family Medicine in the Warren Alpert Medical School of Brown University and medical anthropologist for Care New England Health System, and Scott Hewitt, MA, a teaching assistant at Brown University and project manager at Blackstone Valley Community Healthcare Inc., are co-presenters.
The Office of Program Development has been providing project management support for the Rhode Island patient-centered medical home initiative since 2011. Launched as a pilot program in 2008, CTC is funded primarily by the commercial health plans that participate in the program.
CTC provides care to more than 300,000 adult patients and 30,000 pediatric patients in 73 adult primary care practice sites and nine pediatric pilot practices. The initiative is working to improve quality outcomes, improve patient experiences and reduce the costs of unnecessary hospitalizations by providing practices with incentives to meet those goals.