PROJECT ADVISORY COMMITTEE (PAC) Tuesday, October 6, 2015 - PowerPoint PPT Presentation

PROJECT ADVISORY COMMITTEE (PAC) Tuesday, October 6, 2015 9:00am-12:00pm Islandia Marriott Long Island Hosted by the Office of Population Health at Stony Brook Medicine 1

AGENDA Joseph Lamantia, 9:00 a.m. – 9:20 a.m. Welcome Remarks Chief of Operations for Population Health Stony Brook Medicine Alyssa Scully, Director, Project Management Office & DSRIP General & Project Kevin Bozza, 9:20 a.m. – 10:00 a.m. Updates Director, Network Development & Performance Office of Population Health Stony Brook Medicine 10:00 a.m. – 10:15 a.m. BREAK Althea Williams, Cultural Competency & Senior Manager, Provider & Community Engagement 10:15 a.m. – 10:30 a.m. Office of Population Health Health Literacy Stony Brook Medicine Joseph Lamantia, Value Based Purchasing in NYS: 10:30 a.m. – 10:45 a.m. Chief of Operations for Population Health New York’s VBP Roadmap Stony Brook Medicine Moderator, John Sardelis, Moving from Volume to Value Professor/Associate Chair at St Joseph’s College and 10:45 a.m. – 11:50 a.m. Board Member for Affinity Health Joseph Lamantia, Closing Remarks 11:50 a.m. – 12:00 p.m. Chief of Operations for Population Health Question & Answers Stony Brook Medicine 2

WELCOME REMARKS Presented by Joseph Lamantia Chief of Operations for Population Health Stony Brook Medicine 3

MEETING OBJECTIVES DSRIP General & Project Updates  The office of population health will highlight current status report on the NYS DSRIP Program efforts, including project specific updates, our contracting strategy and upcoming survey efforts. Cultural Competency & Health Literacy Highlights  Our Cultural Competency & Health Literacy Project Lead, Althea Williams, will be describing our progress to date made within our DSRIP milestones related to defining cultural competency for the PPS. Moving from Volume to Value Panel Discussion  A panel of health care leaders representing different sectors of our industry will share thoughts and perspective on the States Value Based Payment Roadmap and discuss what can be leveraged for DSRIP PPSs. 4

DSRIP GENERAL & PROJECT UPDATES Presented by Alyssa Scully, MHA, PMP Director, Project Management Office Kevin Bozza, MPA, FACHE, CPHQ, RHIT Director, Network Development & Performance Office of Population Health Stony Brook Medicine 5

DSRIP PROGRAM KEY MILESTONES • 9/8: Received feedback from Independent Accessor on First Quarterly Report Submission & Project Implementation Plans September • 9/15: Additional Regulatory Waiver Requests Submitted • 9/17-18: First PPS Statewide Learning Symposium Held • 9/24: Revised PPS First Quarterly Report & Project Implementation Plans due • 10/7: Expect Final approval of PPS First Quarterly Report & Project Implementation Plans October • 10/18-10/31: PPS Performance Networks in MAPP open for additions & edits • 10/31: PPS Second Quarterly Report (7/1/2015-9/30/2015) Due from PPSs • PPS Notice and Opt our letters mailed to Medicaid Members from the NYS DOH November • IA Completes review of PPS Second Quarterly Report submission • 11/8-9: DSRIP Project Approval & Oversight Panel Bi-Annual Meeting Scheduled 6

PMO HIGHLIGHTS o DSRIP Project Management Plans (PMP) initiated in Performance Logic PMO Software Tool o Supplemental to the DSRIP DOH work plans, the PMO has written “unit level” plans to help inform and monitor engagement of individual network partners in specific projects o Developing strategies and tools to support initiating Implementation plans across network partners o Second DSRIP Quarterly Report Due 10/31 • Preparing milestone narrative updates • Patient engagement metric reporting • Finalizing all deliverables due 7

LET’S COLLABORATE • Join a Project Committee or Workgroup • Easily join our mailing list by texting SUFFOLKCARES to 22828 • Visit our website at www.suffolkcare.org • Email us at DSRIP@stonybrookmedicine.edu • Contact a Project Management Office team member directly • State-wide: Collaborate on the MRT Innovation eXchange (MIX). Join the discussion around Medicaid Redesign, share your ideas and collaborate with experts in the field of health care at the MRT Innovation eXchange, known as the MIX. https://www.ny-mix.org/login 8

PROJECT HIGHLIGHTS: OBSERVATION PROGRAM (2BIX) & CARE TRANSITION INTERVENTION MODEL (2BIV) • Develop Standardized protocols for a • Establish appropriately sized and staffed Transition Intervention Model: OBS units in close proximity to ED services, unless the services required are better • Model to include early notification of provided in another unit. When the latter planned discharges occurs, care coordination must be provided. • Ability of the transition case manager to • Use of EHR to track patients engaged in the visit the patient prior to discharge project • Model to include care record transition • Implement standard 30-day care protocols with timely updates to primary coordination methodology for safe care provider discharge with short stay protocol • Include 30-day transition of care period, established post-hospitalization, for high risk, chronic health conditions • Partnerships with Home Care and Social Service Agencies & Medicaid Managed Care • Use of EHR to track patients engaged in the project Hospital OBS TOC 9

PROJECT HIGHLIGHTS: OBSERVATION PROGRAM (2BIX) & CARE TRANSITION INTERVENTION MODEL (2BIV) Does your hospital have standardized protocols in place to manage transitions of care practices? Yes No 20% 20% 80% 80% 10

PROJECT HIGHLIGHTS: BEHAVIORAL HEALTH & PRIMARY CARE INTEGRATED CARE MODEL • As we move towards project implementation, a group of pilot partners will be engaged to complete a comprehensive practice assessment for Integrated Care (IC) Readiness. o The tool that will be deployed was adapted from the Robert Wood Johnson Foundation Primary Care Assessment and The MacColl Center for Health Care Innovation. • Strategy highlights: o Building a Integrated Care Tool kit containing best-practice guidelines such as medication management and care engagement processes related to integration practices. o The PPS commits to offering support through a provider centered learning collaborative and technical assistance during implementation of IC. o Integration with PCMH transformation efforts • We’re currently recruiting for an Integrated Care Program Coordinator to support IC implementation, apply online! 11

PROJECT HIGHLIGHTS: DOMAIN 3 CLINICAL IMPROVEMENT PROJECTS CARDIOLOGY, ASTHMA, DIABETES Project workgroups engaged in reviewing Patient Education materials collected from PPS partners to support disease management improvement strategies Engaged in designing the logistics for the Stanford Medicine Chronic Disease Self-Management Program, specifically, how trainers, participants and hot spot locations will be identified for this peer training initiative. Preparing Care management role and collaboration to build county-wide partnerships with Health Home, Care Management Organizations and Community-based Organizations Engagement of Primary Care Providers regarding implementation of the Clinical Improvement Program such as the Million Hearts Campaign 12

PROJECT HIGHLIGHTS: IMPLEMENTING “INTERACT” AT SNFS • “INTERACT” – Interventions to Reduce Acute Care Transfers Program for Skilled Nursing Facilities (SNF) • 42 Skilled Nursing Facilities are currently engaged to pursue INTERACT implementation • Implementation model centers around the Directors of Nursing or designed INTERACT Facility Champion becoming Certified INTERACT Champions. Following formal training they will be leading implementation of the INTERACT 4.0 Toolkit within their respective SNF. • INTERACT T.E.A.M. Strategies, LLC are engaged to train just about 100 key project participants from November 3-6 th , 2015 at Stony Brook Medicine • We’re currently recruiting for an INTERACT Implementation Specialist to support implementation of the model at participating SNFs, apply online! 13

PROJECT HIGHLIGHTS: DOMAIN 4 POPULATION WIDE INITIATIVES Tobacco Cessation Awareness Colorectal Obesity Cancer Screening Prevention Education Awareness Breast Program Cancer Screening SBIRT Program (Screening, Lung Cancer Brief Screening Intervention Program & Referral to Treatment) Program SBIRT Training Source: https://www.oasas.ny.gov/workforce/training/SBIRTCert.cfm 14

PROJECT HIGHLIGHTS: COMMUNITY HEALTH ACTIVATION PROGRAM (CHAP) PAM SURVEY COUNT 6000 5538 5000 4497 Target DY 1 Q2: 4,542 4000 3555 2738 3000 2123 2000 1446 Project 2di Workgroup (left to right) 891 Front row : Michael Miller, Intern, HRHCare; Roberta Leiner, Chief, Patient Engagement, HRHCare; Amy Solar-Greco, Project 1000 Manager, SCC; Tara Larkin-Fredricks, Director of Special 163 394 Projects, MHAW; Anne Stewart, Director of Programs, EOC ; Gwen O'Shea, President/CEO, HWCLI Back row: : Halim Kaygisiz, Director of Health Outreach Services, EOC; Andrew 0 Lehto, Director,Community Outreach & Engagement of Special Populations, HRHCare; Michael Stoltz, CEO, MHAW Not Pictured: Adrian Fassett, President/CEO , EOC ; Paula Fries, COO, MHAW; Pedro Martinez, Outreach Worker, EOC ; Sarah McGowan , MHAW; Trevor Cross, Community Liaison, HRHCare ; Nalini Purvis, VP Community Initiatives, HRHCare 15

PROJECT HIGHLIGHTS: COMMUNITY HEALTH ACTIVATION PROGRAM (CHAP) 16