DRAFT
Integrated Behavioral Health Committee Charter
Overview
The mission of CSI is to lead the transformation of primary care in the context of an integrated health
care system. In order to achieve this mission, CSI must consider how to effectively integrate behavioral
health throughout the Initiative. The Integrated Behavioral Health Committee is charged with providing
direction to operationalize and evaluate integrated behavioral health models within primary care for
both adults and children in the Initiative with a focus on:
 Eliminating disparity in health care outcomes for people with co-occurring conditions
 The triple aim of health care: improve quality, improve patient experience and reduce cost
 Focus on Medical conditions such as: diabetes, COPD, CHF, asthma, attention deficit condition,
developmental delays which are amenable to behavioral health interventions related to
modifiable health related behaviors.
 Behavioral health conditions: mental health (such as depression, anxiety), addiction disorders,
and health-related behaviors (such as healthy eating, tobacco cessation) Improving in
communication and coordination between primary care and BH providers
 Broadening the screening and intervention plans for behavioral health conditions within
primary care practices
 Leverage of existing resources within the health care delivery system and health plans
 Enhancing workforce development to provide integrated behavioral health services
 Supporting Policy/Grant initiatives that could serve to strengthen the integration of integrated
health
 Strengthening behavioral health integration throughout the CSI initiative through such
mechanisms as developmental contract requirements, piloting integrated behavioral health
models within primary care, use of selection criteria with CSI expansion that includes emphasis
on practices that provide behavioral health
Membership
 Co-Chair: Matt Roman, Tri-Town Community Health Center
 Co-Chair: Health plan representative TBD
 Co-Chair: Medical provider (pediatric/family provider/internist)

Staff: Deb Hurwitz, Pano Yeracaris, Susanne Campbell, Hannah Hakim, CSI-RI Management
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Invitees:
Bob Arruda
Donna Bagdasarian
Gail Bell
Noah Benedict
Tom Bledsoe
Becky Boss
Jen Bowdoin
Joanna Brown
David Brumley
Paul Block
Becky Boss
Nelly Burdette
Randie Cadigan
Tracey Cohen
Russ Corcoran
Sue Dubuc
Elizabeth Fortin
Stan Galek
Andrea Galgay
Neal Galinko
Deidre Gifford
Laurice Girouard
Richard Goldberg
Christine Grey
Kathleen Hittner
Katie Kendra
Ray Lavoy
Rich Leclerc
Ellie Lewis
Michael Lichtenstein
Christine Low
Elizabeth Lynch
Linda Mahoney
Gloria Mazza
Mary Moore
Cindy Wyman
Justin Nash
Roanne Osborne-Gaskin
Michael Rizzi
David Robinson
Sarah Roderick
Renee Rulin
Kathy Schwab
Maria Sekac
Sue Storti
Lois Teitz
Paco Trilla
Lisa Uebelacker
Risa Weisberg
Duties, Functions and Responsibilities
 Conduct inventory of resources across state
 Conduct a status inventory of CSI practices on providing integrated behavioral health services,
practice needs and patient needs.
 Create a resource directory of referral sources
 Make recommendations to Executive Committee on ways to integrate behavioral health into
Initiative
 Develop clear, consensus definition of behavioral health
 Develop and test potential models of intervention for impact and sustainability
 Obtain RTI claims data analysis of quality measures for patients with co-morbid conditions
 Work to develop action plans based on the magnitude of disparity between patients with comorbid behavioral health and those without behavioral health conditions
 Recommend metrics to measure success for quality, patient experience and cost
 Recommend competencies for clinical staff (medical and behavioral health) and support
training through Practice Transformation Committee , Provider Best Practice, Nurse Care
Manager Best Practice and other initiatives such as Community Health Teams
 Contribute to state wide efforts to improve integrated behavioral health infrastructure
 Propose payment systems that support evidence based demonstrated integrated behavioral
health practices
 Improve access for behavioral health services
Work Processes
 Meets once monthly for 1.5 hours (third Thursday of every month from 3:30-5pm)
 Structured agenda
 Reports committee work to Steering Committee
 Brings recommendations to Executive for approval
 Collaborates with the Community Health Team pilot program
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

Collaborates with PCMH Kids and integrate key components into the overall IBH
recommendations
Collaborates with Practice Transformation Committee, Provider Best Practice, Nurse Care
Manager Best Practice
Deliverables/ Timeline
Deliverable
1. Directory of BH resources
based on inventory
Who
CSI Mgt
When
2. Sample compact for
behavioral health
CSI Mgt with input
from committee
June 2014
CSI Mgt
3. CSI practice status on
providing BH services
and inventory of % of
patients with conditions
such as depression/anxiety
alcohol/drug dependency
June 2014
4. CSI data- service
utilization, quality
outcomes, for patients
with co-occurring
disorders
CSI/RTI/RIQI
May 1, 2014
5. Recommendations for
models of IBH;
integration in the CSI
developmental contact
and payment reform
Committee and
health plans
Comments
Health homes; Gateway;
QBH; NAFI, lifespan
resources, Health Plan
resources
Payer accepted; eligibility;
contact information and
coordination agreement
Compact for practices to
execute with BH providersbi directional
communication; coordination
and co-management of
patients care
For each practice what BH
service model do they employ
– coordinated; co-located;
embedded, percent of patients
with conditions such as
depression, anxiety and
addiction disorders
Pilot inventory with CHT
practices and then spread to
other CSI practices
BH rates of IP and ED
TBD
Characteristics of BH patients
- TBD
Sept 2014
Define the models and
payment options within CSI
contract
May 2014
Pilot Community Health
Team in two geographic
locations with emphasis on
enhanced behavioral health
support for high risk patients
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Initiate May
2014-
6. Support Policy Initiatives
that support Integrated
Behavioral Health within
Primary Care
IBH Committee
CSI Management
Oct-Dec 2013
February 2014
March 2014
7. Provide training
opportunities for
integrated behavioral
health through CSI
committees and pilot
programs
Recommend CSI
developmental contract
requirements to strengthen
meeting patients behavioral
health needs in primary care
Provide emphasis for
providing integrated
behavioral health in 2014 CSI
expansion
Participate in RI Special
Committee for Integrated
Behavioral Health
Contribute recommendations
to the Special Commission
Report
Testify at State House and
provide written support for
The RI Behavioral Health
Reform Act
PTC: Presentation on MHRI
integrated care model
Provider Best Practice:
Presentation by RIPCPC on
behavioral health referral
network
NCM Best Practice:
Presentation on integrated
behavioral health models
Steering Committee:
Presentation on
Confidentiality and RI Mental
Health Law
CHT: Funding for training
and consultation to support
IBH
Draft Consensus Definition of Behavioral Health Care: is an umbrella term and refers to a
continuum of services including mental health care, unhealthy substance use diagnosis and
treatment and support to address unhealthy lifestyles that influence chronic conditions and
quality of life (UMMS PCMH Behavioral Health Toolkit).
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