Hudson Valley DSRIP Project Advisory Committee Webinar October 2, 2014 10:00 am – 11:30 am Dial-in: 1.855.749.4750 Access code: 575 193 800
Housekeeping • Please mute your phone line • Submit questions via the “chat” function on the bottom right of your screen • Slides will be posted to http://www.crhi-ny.org/ after today’s meeting 2
Agenda • June Keenan, Executive Director I Welcome & Meeting Objectives Center for Regional Healthcare Innovation (CRHI) at Westchester Medical Center • Lammot du Pont, Senior Advisor & • II Draft DSRIP PPS Plan Application Brenda Pawlak, Director Manatt Health Solutions • June Keenan & • Deborah Viola, Director, Health Services Research III Planning Process Updates and Data Analytics CRHI • IV Next Steps June Keenan V Question and Answer Session 3
Meeting Objectives • Provide an overview of the recently released draft DSRIP PPS Plan Application • Provide an update on the DSRIP planning process to the full Project Advisory Committee (PAC) since our August PAC webinar • Discuss ongoing opportunities for PAC members to engage in the DSRIP planning process • Provide a forum for questions and discussion 4
Agenda • June Keenan, Executive Director I Welcome & Meeting Objectives Center for Regional Healthcare Innovation (CRHI) at Westchester Medical Center • Lammot du Pont, Senior Advisor & • II Draft DSRIP PPS Plan Application Brenda Pawlak, Director Manatt Health Solutions • June Keenan & • Deborah Viola, Director, Health Services Research III Planning Process Updates and Data Analytics CRHI • IV Next Steps June Keenan V Question and Answer Session 5
DSRIP Project Plan Application - DRAFT The draft DSRIP Project Plan Application was released by the NYSDOH on September 29 th and contains the following sections: Table of Contents I. Executive Summary II. Governance III. Community Needs Assessment IV. DSRIP Projects V. PPS Workforce Strategy VI. Data-Sharing, Confidentiality & Rapid Cycle Evaluation VII. PPS Cultural Competency/Health Literacy VIII. DSRIP Budget & Flow of Funds IX. Financial Sustainability Plan X. Bonus Points XI. Attestation NYSDOH will accept comments on the draft through October 29 th via dsripapp@health.ny.gov and is planning opportunities for review and discussion of the application (i.e., webinar, conference call, and public forum meeting with PPS leads) 6
Application Score Overview - DRAFT Application Score Organizational Project Score Score 70% 30% Organizational Scoring Project Scoring Executive Summary Project Description and Justification Governance Scale of Implementation Community Needs Assessment Speed of Implementation/Patient Workforce Strategy Engagement Data-Sharing, Confidentiality, Other Resource Needs and Other and Rapid-Cycle Evaluation Initiatives Cultural Competency/Health Literacy DSRIP Budget and Flow of Funds Financial Sustainability 7
DSRIP Organizational Application Sections and Key Elements Governance Organizational Structure 1: Executive Summary Structure and processes to ensure adequate governance and 2. Governance management that includes establishing quality standards and 25% measurements, clinical care management processes, and the 3: CNA ability to be held accountable for realizing clinical outcomes Governance Members and Governing Processes 4: DSRIP Projects Sufficient representation Decision making/voting process 5: PPS Workforce Strategy Conflict resolution process 6: Data-Sharing, Confidentiality Ensure transparency and engage stakeholders & Rapid Cycle Evaluation Project Advisory Committee 7: PPS Cultural Competency/ Compliance Health Literacy Processes for compliance monitoring, notification, and training 8: DSRIP Budget & Flow of Funds Financial Organization Structure Key finance functions and compliance programs 9: Financial Sustainability Plan Oversight and Member Removal 10: Bonus Points Performance monitoring process Process for sanction and/or removal of “poor performing” 11: Attestation members who fail to remedy their performance 8
DSRIP Organizational Application Sections and Key Elements The CNA must include the appropriate data that will support the 1: Executive Summary CNA conclusions that drive the overall PPS strategy 2. Governance Overview on the Completion of the CNA CNA process and methodology 3: CNA 25% 4: DSRIP Projects Healthcare Provider Infrastructure Aggregate level the existing healthcare infrastructure and outline 5: PPS Workforce Strategy of composition modifications required to meet community needs 6: Data-Sharing, Confidentiality Community Resources Supporting PPS Approach & Rapid Cycle Evaluation Aggregate level the existing community resources and outline of composition modifications required to meet community needs 7: PPS Cultural Competency/ Health Literacy Community Demographics 8: DSRIP Budget & Flow of Funds Community Population Health & Identified Health Challenges 9: Financial Sustainability Plan Healthcare Provider & Community Resources Identified Gaps 10: Bonus Points Identification of the health and behavioral health service gaps and/or excess capacity 11: Attestation Strategy and plan to address the identified gaps in order to meet the needs of the community Stakeholder & Community Engagement Summary of CNA Findings
DSRIP Organizational Application Sections and Key Elements 1: Executive Summary 2. Governance Detailed Strategy Identifying All Workplace Implications 3: CNA 4: DSRIP Projects Analysis of Workforce Impact 5: PPS Workforce Strategy 20% Workforce Strategy Budget 6: Data-Sharing, Confidentiality State Program Collaboration Efforts & Rapid Cycle Evaluation 7: PPS Cultural Competency/ Stakeholder & Worker Engagement Health Literacy 8: DSRIP Budget & Flow of Funds 9: Financial Sustainability Plan 10: Bonus Points 11: Attestation 10
DSRIP Organizational Application Sections and Key Elements 1: Executive Summary PPS must include provisions for appropriate data sharing arrangements and a process for rapid cycle evaluation (RCE) 2. Governance supports requirements for reporting to the DOH and CMS 3: CNA Data-Sharing & Confidentiality Plan for appropriate data sharing among partners 4: DSRIP Projects Ability to share relevant patient information in real- time to ensure that patient needs are met and care is provided 5: PPS Workforce Strategy efficiently and effectively while maintaining patient privacy 6: Data-Sharing, Confidentiality 5% & Rapid Cycle Evaluation Rapid-Cycle Evaluation Create an organizational unit within the PPS that is 7: PPS Cultural Competency/ accountable for reporting results and making Health Literacy recommendations on actions requiring further investigation into PPS performance 8: DSRIP Budget & Flow of Funds Plan for the use of collected patient data to: 9: Financial Sustainability Plan evaluate performance of PPS partners and providers conduct quality assessment and improvement activities 10: Bonus Points conduct population-based activities to improve the health of the targeted population. 11: Attestation Mechanism to oversee the interpretation and application of results 11 11
DSRIP Organizational Application Sections and Key Elements 1: Executive Summary 2. Governance Approach to Achieving Cultural Competence 3: CNA The identified and/or known cultural competency challenges 4: DSRIP Projects The strategic plan and ongoing processes to develop 5: PPS Workforce Strategy a culturally competent organization and a culturally responsive system of care, particularly the 6: Data-Sharing, Confidentiality engagement and training of frontline healthcare & Rapid Cycle Evaluation workers to improve patient outcomes due to cultural competency challenges 7: PPS Cultural Competency/ 15% Health Literacy Approach to Improving Health Literacy 8: DSRIP Budget & Flow of Funds Plan to improve and reinforce health literacy of patients served 9: Financial Sustainability Plan Specific initiatives that will be pursued by the PPS to 10: Bonus Points promote health literacy 11: Attestation 12
DSRIP Organizational Application Sections and Key Elements 1: Executive Summary 2. Governance 3: CNA 4: DSRIP Projects 5: PPS Workforce Strategy The PPS must establish a budget and funds flow methodology for entirety of DSRIP program 6: Data-Sharing, Confidentiality & Rapid Cycle Evaluation Description Plan for distributing DSRIP funds 7: PPS Cultural Competency/ Balance of cost to run PPS and associated programs Health Literacy (efficient and effective stewardship of resources) and Pass/ 8: DSRIP Budget & Flow of Funds investment in incentives to foster care transformation in Fail DSRIP region. 9: Financial Sustainability Plan 10: Bonus Points 11: Attestation 13 13
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