New York City Department of Health and Mental Hygiene DSRIP Status Update Dr. Oxiris Barbot, First Deputy Commissioner DOHMH Dr. Gary Belkin , Executive Deputy Commissioner, Mental Hygiene
4.b.i Promote Tobacco Cessation • 4 PPSs working with DOHMH Bureau of Tobacco Control: Advocate Community Partners , Nassau Queens, Lutheran, New York Presbyterian • In January, we convened the four PPSs that chose project 4bi) to discuss – Potential technical assistance in the clinical and non-clinical setting, – A strategy to collectively contribute to a larger citywide media plan, and – Potential improvements to the tobacco cessation benefit offered by Medicaid and commercial plans • The next meeting will take place in April with all PPSs to continue these discussions
4.c.ii. Increase Early Access and retention in HIV Care • 7 PPSs working with DOHMH HIV related programs: Bronx- Lebanon, HHC, Lutheran, Maimonides, Mt. Sinai, NY Hospital of Queens, St. Barnabas • Most Domain 4cii work has taken place through an HIV Joint Planning Group, which includes all NYC PPSs who have proposed Domain 4cii Projects. • Potential Domain 4cii Projects that will include collaboration with DOHMH include – Viral Load Suppression Project (2-3 PPSs) – PrEP for High Risk Negatives (6 PPSs) – Anti-Retroviral Treatment and Access to Services (ARTAS) intervention (2 PPSs) – Peer Specialist Health Navigation Services (3-4 PPSs) – Social Marketing, Consistent Messaging, and Appointment Procedures (4 PPSs) – 3-Tiered Cultural Competency Project (4-6 PPSs) – Promote Delivery of HIV/ STD Partner Services (1 PPS)
3.d.ii Expansion of home based self-management program 3.d.iii Evidence- Based Medicine guidelines for asthma • PPSs interested in working with DOHMH on Asthma Projects: Bronx Lebanon, HHC, Maimonides, NY Hospital Queens, St. Barnabas • In the PPSs that have connected with DOHMH, all are interested in coordinated borough wide efforts so that patients receive standard messaging throughout Borough • DOHMH is offering support in the following areas of collaboration. – environmental home assessment training and technical assistance (4 PPSs) – educational materials development, (2 PPSs) – electronic health records/IT systems referrals and coordination, (3 PPS) – school health and tobacco cessation (3PPSs)
DOHMH Primary Care Information Project • 6 PPSs working with DOHMH PCIP: Bronx- Lebanon, HHC, Maimonides, Mount Sinai, New York Presbyterian, St. Barnabas • PCIP offers assistance on Domain 2 projects that are integrated with Domain 3 & 4 projects – Partner Reports: Analysis of provider networks and their status on EHR, Meaningful Use, and PCMH Recognition Status (“Partner Report”) Completed (3 PPSs): HHC, Bronx Lebanon, Mount Sinai – Advising several PPS Leads on strategies for EHR adoption (3 PPSs): HHC, Maimonides, St Barnabas
Additional Support from DOHMH • Implementation Planning • Additional Convening • Data Analysis • Support on PPS committees • Suggestions are welcome
New York City School Community Mental Health Index
New York City School Based Mental Health Clinics Mental Health Needs Index By school district Overall Rank DRAFT
Percentage of children attending a Percentage of children attending a school with a social worker school with a mobile response team DRAFT
Percentage of children attending a Psychiatric ED visit rates, 2010 school with a social worker DRAFT
3.a.i Integration of Primary Care and Behavioral Health 4.a.iii Strengthen MH Substance Abuse Infrastructure • 3.a.i. All PPSs working on integration of Behavioral Health and Primary Care – DOHMH convened a NYC Behavioral Health PPS meeting 2/13/15 – Behavioral Health PPS leads will participate as Steering Group to the NYC Regional Planning Consortium led by DOHMH • 4.a.iii. 5 PPSs working together on strengthening mental health and substance abuse infrastructure – These PPSs have been meeting together to focus on school related preventive interventions and an collaborative care model adapted for an adolescent focus – DOHMH has been collaborating with these PPSs as a group in preparation of a possible implementation plan to partner them with Community Schools in their adoption of a school-based mental health model
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