Resource Mobilization for Population Health: Meeting Patient and Community Health Needs Progress Since 2013
SocialServices 7 nutritional other social job training supportive support & services that and housing family exclude health employment & rent assistance benefits programs subsidies
BROAD DETERMINANTS OF HEALTH NATURAL ENVIRONMENT ECONOMIC BUILT DEVELOPMENT ENVIRONMENT In order to achieve health, we must improve the built, social, economic, Creating URBAN HOUSING and physical Healthy PLANNING Communities environments in which people live, play and learn. HEALTH EDUCATION SECTOR COMMUNITY TRANSPORTATION COHESION 4
FIVE PREVENTION AGENDA PRIORITIES 1. Prevent chronic diseases 2. Promote a healthy and safe environment 3. Promote healthy women, infants and children 4. Promote mental health and prevent substance abuse 5. Prevent HIV, sexually transmitted diseases, vaccine- preventable diseases and healthcare associated infections
New York State Health Initiatives PREVENTION AGENDA STATE HEALTH INNOVATION PLAN (SHIP) Priority Areas: Pillars and Enablers: - Improve access to care for all New Yorkers - Prevent chronic diseases No new $ $100M - Integrate care to address patient needs - Promote a healthy and safe environment seamlessly - Promote healthy women, infants, and children over 4 - Make the cost and quality of care transparent - Promote mental health and prevent substance - Pay for healthcare value, not volume years abuse - Promote population health - Prevent HIV, sexually transmitted diseases, - Develop workforce strategy vaccine- - Maximize health information technology preventable diseases, and healthcare-associated infections - ALIGNMENT: Improve Population Health Transform Health Care Delivery Eliminate Health Disparities MEDICAID DELIVERY SYSTEM REFORM POPULATION HEALTH INCENTIVE PAYMENT (DSRIP) PROGRAM IMPROVEMENT PROGRAM (PHIP) $8.25B ~$13M Key Themes: PHIP Regional Contractors: over 5 - Integrate delivery – create Performing Provider over 2 - Identify, share, disseminate, and help implement Systems best years years + - Performance-based payments practices and strategies to promote population health - Statewide performance matters FLHSA - Support and advance the Prevention Agenda - Regulatory relief and capital funding - Support and advance the SHIP - Long-term transformation & health system sustainability - Serve as resources to DSRIP Performing Provider Systems - Promote population health upon request Updated April 2016
Hospital Community Benefit In Investment In 2015, private non-profit hospitals in NYS (n=134) spent $6.39 billion on community benefit, accounting for 12.5% of their total operating expenses, including 0.6% for community health improvement. Net Community Benefit Expenses as Percentages of Net Total Community Benefit Spending among Hospitals, New York State (2015) $309M New York State Department of Health Office of Public Health Practice
SCHEDULE H ALIGNMENT WITH THE NYSPA
The Governor’s Vision • Advance a Health Across All Policies approach to incorporate health considerations into policies, programs and initiatives led by non- health agencies. • Consider how all of our policies, programs and initiatives support us achieving the Governor’s goal of becoming an age friendly state. • Long term goal is to embed Health in all Policies and considerations for Healthy Aging into all aspects of our government work. 9
NYS FUNDING WITH POTENTIAL TO LEVERAGE POPULATION HEALTH • DSRIP - $8.25b over 5 years • SHIP – $100m over 4 years • PHIP – $15m over 2 years • Community Benefit - $309m in NYS in Community Health Improvement Category of Schedule H in 2015 • NYS Economic Development Initiatives • Banks and Community Development Corporations • Social Impact Bonds
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