MHVC Innovation Driving Change Poster Compendium Table of Contents - PDF document

MHVC Innovation Driving Change Poster Compendium

Table of Contents 01 Welcome 04 Who We Are 05 Innovation Driving Change: MHVC Success Stories Transitions of Care 1. Rapid Cycle Improvement in “Action” (MAX) 2. Stop the Revolving Door (Community Paramedicine) 3. Driving Member Outcomes: Rockland County Community of Care 4. Controlling Hypertension 5. Evolution of the MHVC Research Roadmap Behavioral Health Integration 6. Recovery Coaches (Arms Acres) 7. Designing Effective Substance Use Referrals 8. Combating the Opioid Epidemic 9. Improvement in a Value-Based World: Reducing Behavioral Health ED Utilization Workforce Development 10. Addressing SDOH: Drivers of Burnout, Staff Resiliency & Joy in Work 11. What Matters to You? (Montefjore Nyack) 12. Understanding the Role of Teamwork 13. Sustaining Cultural Competency and Health Literacy CBOs 14. Incentivizing CBO Engagement 15. More than Books at the Yonkers Public Library 16. Healthy Food Distribution at Information Outposts 26 Appendix 30 Posters

1 March 2020 Dear Valued MHVC Network Partner, It’s my pleasure to provide to you a closing package that includes a series of highlights, impacts and refmections on the success of the MHVC network and the state’s DSRIP program. As you will see, this is just a subset of all of the amazing work done over the last fjve years. The attached represents work that was captured in poster sessions presented regionally, state wide, nationally and internationally. I want to start with a thank you. None of this would have been possible without the partnership and commitment of the providers and organizations that joined the MHVC network. MHVC partners led by example, making time and resources available to advance the vision of DSRIP. At the heart of our network was a drive to break down silos, give room for innovation and leave a sustainable path forward for care in our region. Working together we’ve accomplished those goals. We’ve improved the care continuum, making social needs and greater access critical components of better health. We’ve put patients and providers at the center of care, asking “What Matter’s to You?” as a central tenet of patient and provider experience. And we’ve strengthened the health care workforce through training for emerging roles and continuing education. Finally, through training, quality improvement, and relationship building we have put organizations on the path towards value based arrangements that promote network interoperability and reward organizations for better health, better care and lower costs. DSRIP was a grand policy experiment that will be sustained through innovation and a research roadmap that measures impact and ability to scale. In the coming pages you will see a story of making that experiment an important reality for the Hudson Valley. Together we achieved more than we ever could have hoped. I thank each of you for taking this journey with us and look forward to continuing this important work with you in the years to come. Allison McGuire, MPH Executive Director, MHVC

2 In Appreciation Steering Committee Clinical Quality Subcommittee Allison McGuire, MHVC Hudson River Healthcare/ CBHCare Maria Kercado, 1199 SEIU Training and Employment Funds Montefiore Health System - CMO Mark Sasvary, CBHS Access Supports for Living Kathy Pandekakas, CBHS/HDSW Haverstraw Pediatrics Patricia Krasnausky, Cabrini of Westchester Lexington Center for Recovery Joseph Todora, County of Sullivan, Department of Community Cornerstone Family Healthcare Services St. Joseph’s Hospital, Yonkers Anne Nolon, Hudson River Healthcare Orange County Dept. of Mental Health & Social Services Amie Parikh, Hudson Valley Care Coalition HealthQuest Jaccel Kouns, Montefiore Mount Vernon Hudson Valley Care Coalition Anthony Alfano, Montefiore New Rochelle Hudson River Health Care Mark Geller, Montefiore Nyack Hospital Workforce Subcommittee Edward Herman, Rockland Psychiatric Center Kay Scott, St. John’s Riverside Hospital 1199 SEIU Bernadette Kingham-Bez, St. Joseph’s Hospital, (St. Vincent’s) Arms Acres Michael Spicer, St. Joseph’s Hospital, Yonkers Montefiore New Rochelle, Montefiore Mount Vernon and the Joan Cusack-McGuirk, Montefiore St. Luke’s Cornwall Hospital Schaffer Extended Care Center Linda Muller, Cornerstone Family Healthcare Human Development Services of Westchester Joseph Guarracino, White Plains Hospital Montefiore Health System Hudson Valley Care Coalition Finance and Sustainability Subcommittee New York State Nurses Association St Luke’s Cornwall Hospital Access: Supports for Living Sullivan County Government Julia Dyckman Andrus Memorial Cornerstone Family Healthcare Arms Acres Rehabilitation Support Services Cabrini of Westchester St. John’s Riverside Hospital HRH Care Cornerstone Family Healthcare Information Technology Subcommittee Montefiore Health System Montefiore Nyack Hospital Children’s Medical Group St. John’s Riverside Hospital Community Health Care Collaborative St. Joseph’s Hospital, Yonkers Dutchess County Government Lexington Center for Recovery Legal and Compliance Subcommittee Mental Health America of Dutchess County Astor Services for Children and Families Montefiore Medical Center Human Development Services of Westchester Montefiore Health System Middletown Community Health Center Montefiore Nyack Hospital Montefiore Health System Regency Extended Care Center Montefiore New Rochelle Cornerstone Family Healthcare Hudson Valley Care Coalition St Luke’s Cornwall Hospital

3 Cultural Competency Workgroup Human Development Services of Westchester Hudson River Healthcare Mental Health Association in Orange County, Inc. Rehabilitation Support Services Arms Acres The Arc of Orange County People, Inc. Hudson River Healthcare Orange County Human Rights Commission Montefiore Hudson Valley Collaborative

4 Who We Are Montefjore, renowned for its long-standing commitment to community-based healthcare, has led a group of nearly 250 healthcare providers, community-based organizations, local government offjcials and more, from across Westchester, Rockland, Orange, Sullivan, Dutchess, Ulster and Putnam counties, to form the Montefjore Hudson Valley Collaborative (MHVC). Working together, we have championed new models of providing over 200,000 Medicaid benefjciaries with higher quality care, while reducing expenditures through enhanced coordination, community-focused care and education. Our Guiding Vision • A more integrated delivery system, better able to take on risk and deliver value • A more sustainable delivery system, care delivered locally and in the right care setting • A more patient-centered delivery system, with expanded access to service s tailored to the unique needs of our patients and communities

5 Innovation Driving Change: MHVC Success Stories

6 POSTERS Transitions of Care