The Care Transformation Collaborative of Rhode Island (CTC-RI) was awarded grant funding through the Rhode Island Foundation's Fund for a Healthy Rhode Island to test a clinical and financial integrated behavioral health (IBH) proposal. CTC-RI issued a "call for applications" in October 2015, and twelve CTC-RI Primary Care Practices were selectrd to participated in either Cohort 1 (January 2016 start date) or Cohort 2 (November 2016 start date) for the three year IBH Pilot Program.
The Rhode Island Foundation project goals are: 1) to test a payment model that integrates and aligns incentives to address public health, social services and behavioral health; and 2) develop a payment system towards a value-based model. The CTC-RI sustainable business objectives are to: 1) increase the identification of patients with behavioral health and substance use disorders (SUD) through universal screening for depression, anxiety and SUD; 2) increase ready access to brief behavioral health intervention for patients with moderate depression, anxiety, SUD and co-occurring chronic conditions; 3) provide care coordination and intervention for patients with high emergency department (ED) utilization; 4) improve interdisciplinary care coordination for patients with severe mental illness and SUD; and 5) test the proposed financial model for long term sustainability with particular attention to ED and inpatient (IP) utilization/total cost of care as sustainable measures.
It is anticipated that primary care practices, through the IBH model, will be able to 1) provide on-site treatment for twenty to thirty percent of the patient population that is seen each year in the primary care practice (PCP) setting; 2) utilize behavioral health compacts for no more than twenty percent (20%) of patients that have moderate to high screening scores for depression, anxiety and/or SUD’s.