AMCH PPS Workforce Reporting September 16, 2016
Agenda • Impact Analysis – Contract Metric ID IDS_R8 – Completes multiple milestones: • 2- Workforce Impact Analysis and Updates • 3- New Hire Employment Analysis and Updates • 5- Target Workforce State (projections) • Training template – Multiple metrics 2
What is DSRIP? • The Delivery System Reform Incentive Payment program is an initiative to redesign the care delivery system, specifically for Medicaid patients • Goals include: – A 25% reduction in avoidable hospital use – Increased patient activation – Integrated delivery system – Improved outcomes/ satisfaction 3
Workforce Coordinating Council 4
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Impact Analysis Components PMO Partners Actual New Hires Actual # Actual # Retrained Projections of Redeployed 4.1.2015- 4.1.2015- staff impact by 4.1.2015- 9.30.2016 9.30.2016 9.30.2016 title and by facility type through 2020 Partners will report whole numbers of individuals by Reporting facility type who meet the due 10 days PMO will report aggregate definition of New Hire, after the numbers of staff by facility Retrained, Redeployed completion type to project the 5 year date target state. Completes Milestone #5, Target Due to DOH Q2 and Q4 of Workforce State. each Demonstration Year Based on Target/ Will be reported to PMO Gap Analysis monthly in Phase One, quarterly thereafter. Due DY2Q2
State Definitions for Staffing Impact New Hires are all employees hired as a result of DSRIP, including employees who support the DSRIP projects and PPS infrastructure. (Re)Trained Staff are any current employees who provide services for the PPS selected projects or PPS central support who receive training and skill development for the purpose of redeployment or employees who are at risk of lay-off. Redeployed Staff are all employees who are currently employed by any PPS Partner as of DSRIP Year 1 and who transition into another job title or role with the same employer. • Enhanced Placement Staff: compensation is >100% of their previous role • Full Placement Staff : compensation is ≥ 95% of their previous role • Partial Placement Staff : compensation is ≥ 75% and < 95% of their previous role • Less than Partial Placement Staff : compensation is < 75% of their previous role 7
Who should be considered as a new hire? – New hires are defined as employees who are hired as a result of DSRIP, meaning that their employment is based on a need or an activity not incurred previous to the implementation of DSRIP. – For example, if your organization hired a project manager to manage your DSRIP activities, this would be a new hire. – If your organization hired an RN to provide care management activities that were not a part of your workflow previous to DSRIP, this person would be considered a new hire. This would also be true if only a portion of this employee’s time was spent on these activities. 8
What is the difference between a new hire and a redeployment? – A new hire is an employee new to your organization that is hired as a result of DSRIP. Existing staff who move to a new position to support DSRIP activities (within the same organization, but perhaps to a different facility type) are counted as redeployed. – For example, an LPN who moves from his current role as a staff nurse in the ED to a position within a primary care site to provide care coordination support, has been redeployed. The difference between the salaries for both positions will indicate this employee’s placement type. 9
Retrained or Redeployed? • If an employee is being redeployed and requires training, which category should this employee be reported under? – For the purposes of the Staff Impact Analysis, this employee should be categorized and counted as redeployed. • When reporting Staff Impact, should we double count positions in multiple categories (e.g., an RN that is both retrained and redeployed to a different nursing setting), or should a given headcount only be reported in one place? – Headcounts should only be counted in one place. For example, if an RN is redeployed and receives training as part of the redeployment effort, they would be counted in redeployed. 10
So then, who counts as “Retrained?” • Staff who are retrained (skill development) to accept new responsibilities in their current position to support DSRIP • Staff who are at risk of lay-off – It is not anticipated that the PPS will experience significant, if any, lay-offs 11
Reportable Facility Types Org rganization T Types ( (10) Hospital Inpatient Hospital Outpatient Clinics (Article 28) Diagnostic and Treatment Centers (Article 28) Clinics (OPWDD) (Article 16) Outpatient Behavioral Health (Article 31 & Article 32) Home Care Agency Non-licensed Community Based Organization (CBO) Nursing Home/SNF Private Provider Practice Other Type (select only if no other types apply) 12
Reportable Job Titles Rep eportable J e Job T Titles es ( (65) Bachelor's Social Work (BSW) (2060) Nutritionists / Dieticians (7005) Care Manager / Coordinator (2005) Occupational Therapists (7010) Care or Patient Navigator (2010) Occupational Therapy Assistants / Aides (7015) Certified Asthma Educators (9005) Office Clerks (9550) Certified Diabetes Educators (9010) Other Mental Health / Substance Abuse Titles Requiring Certification (1020) Certified Home Health Aides (6005) Other Physician Specialties (except Psychiatrists) (5010) Clinical Laboratory Technologists and Technicians (3005) Other Registered Nurses (Utilization Review, Staff Development, etc.) (4020) Coders / Billers (9505) Patient Care Technicians (3020) Community Health Worker (2030) Patient Service Representatives (9555) Computer Hardware Maintenance (8005) Peer Support Worker (2035) Computer Technical Support (8010) Personal Care Aides (6010) Dietary/Food Service Managers (9510) Pharmacists (7020) Executive Staff (CEOs and General / Operations Managers) (9515) Pharmacy Technicians (7025) Financial Services Representatives (9520) Physical Therapists (7030) Financial Staff (Managers and Clerks) (9525) Physical Therpay Assistants / Aides (7035) Health Coach (9015) Physician Assistants in Other Specialties (5020) Health Educators (9020) Physician Assistants in Primary Care (5015) Health Information Technology Managers (8015) Primary Care Physicians (5005) Housekeeping Managers (9530) Psychiatric Aides / Technicians (1025) Human Resources Staff (Managers and Human Resource Assistants) (9535) Psychiatric Nurse Practitioners (1015) Janitors and Cleaners (9540) Psychiatrists (1005) Licensed Clinical Social Workers (LCSW) (2045) Psychologists (1010) Licensed Master's Social Workers (LMSW) (2050) Respiratory Therapists (7040) Licensed Practical Nurse (LPNs) (4035) RN and NP Care Coordinators/Case Managers/Care Transitions (2015) LPN Care Coordinators/Case Managers (2020) Secretaries and Administrative Assistants (9560) Master's Social Worker (MSW) (2055) Social and Human Service Assistants (2040) Medical Assistants (3010) Social Worker Care Coordinators/Case Managers/Care Transisition (2025) Medical Interpreters (9545) Software Programmers and Developers (8020) Nurse Managers / Supervisors (4030) Speech Language Pathologists (7045) Nurse Midwives (4025) Staff Registered Nurses (4015) Nurse Practitioners in Other Specialties (except Psychiatric NPs) (4010) Substance Abuse and Behavioral Disorder Counselors (1030) Nurse Practitioners in Primary Care (4005) Transportation (9565) Nursing Aides / Assistants (3015) 13
Reporting “DSRIP Job Titles” *Prepared by Iroquois Healthcare Association 14
Current DOH Reporting Template But where do I report placement type information? 15
Current PPS Reporting Template • 4 Tabs: * Locked worksheets are – New Hires automated to summarize your inputs while removing – Redeployed confidential employee – NH Summary* information – RD Summary* • Partner will complete “New Hires” and “Redeployed” tabs • Copy and paste special values “NH Summary” and “RD Summary” to separate tabs in a new workbook for submission 16
Who should complete this template? • Organization-dependent – Unit managers (one template per organization) – HR personnel – Payroll personnel – DSRIP project managers – Other designees 17
Training Templates • Will be used to report training activities facilitated by an organization – Templates currently in use • 3bi, 3diii, Audit/ Compliance • Will not be used for – Trainings offered through HealthStream – Trainings offered by a vendor – Trainings offered by one-time webinar (Performance Reporting) 18
Training Template Components • Instructions- All the information you need about the training expectations • Training- List all dates training was held and number of people trained *This will be printed and • Sign In*- Printed for signature by trainees submitted as a PDF • Roster- Staff list used to populate sign in sheets. Used to report provider training (NPI) and to send training evaluations (email) 19
New Hire Training • New hires who fall within the job titles/ roles who are required to complete a specific training will need to be captured on your quarterly template. • This means an ongoing delivery of multiple trainings • To assist with coordination, the PMO is developing a training schedule 20
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