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DSRIP AND PHIP Overview Rapid Response Workgroup December 2, 2014 Ian Grant, MPH Rural Health Program Manager Fort Drum Regional Health Planning Organization.

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Presentation on theme: "DSRIP AND PHIP Overview Rapid Response Workgroup December 2, 2014 Ian Grant, MPH Rural Health Program Manager Fort Drum Regional Health Planning Organization."— Presentation transcript:

1 DSRIP AND PHIP Overview Rapid Response Workgroup December 2, 2014 Ian Grant, MPH Rural Health Program Manager Fort Drum Regional Health Planning Organization

2  DSRIP = Delivery System Reform Incentive Payment Program  5-year action plan  Objectives  To reinvest savings generated by Medicaid Redesign Team (MRT) reforms  To transform New York State’s healthcare system and ensure access to quality care  Goals  To encourage innovative primary, preventive and other community-based care for Medicaid members  To achieve a 25% reduction in avoidable hospital use (emergency department and hospital beds) What is DSRIP? For more information, visit: https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/

3  Incentive payments  Based on performance (i.e. improved care, better outcomes)  Linked to achievement of project milestones  Providers must develop Center of Medicaid Services (CMS) approved projects from each of the domains:  #2 System Transformation Projects  #3 Clinical Improvement Projects  #4 Population-wide Projects What is DSRIP? For more information, visit: https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/

4  Domain 2 (System Transformation Projects)  Create an Integrated Delivery System  Increase Patient-Centered Medical Homes  Create a Medical Village using existing Hospital Infrastructure  Utilize a Care Transitions Intervention Model to reduce 30-day Readmissions for Chronic Conditions  Domain 3 (Clinical Improvement Projects)  Integrate primary care & behavioral health  Evidence-based strategies for cardiovascular disease and diabetes care (primary and secondary prevention) Proposed DSRIP Projects for the North Country For more on the North Country DSRIP: https://sharepoint.fdrhpo.org/public/NCI-DSRIP/_layouts/15/start.aspx#/SitePages/Home.aspx Get weekly updates when you sign up for the DSRIP 5 FAST FACTS email (using the link above)

5  Domain 4 (Population-wide Projects, Prevention Agenda)  Strengthen Mental Health and Substance Abuse Infrastructure  Participate in health promotion and disorder prevention partnerships  Provide cultural and linguistic training on health promotion, prevention and treatment  Share data and information on health promotion and disorder prevention and treatment  Increase Access to High Quality Chronic Disease Preventive Care and Management (both clinical and community settings)  Targets chronic diseases not included in Domain 3 (colorectal cancer, chronic obstructive pulmonary disease) Proposed DSRIP Projects for the North Country For more on the North Country DSRIP: https://sharepoint.fdrhpo.org/public/NCI-DSRIP/_layouts/15/start.aspx#/SitePages/Home.aspx Get weekly updates when you sign up for the DSRIP 5 FAST FACTS email (using the link above)

6  April – June 2014: Planning Design  July – December 2014: Needs Assessment and Project Planning  December 22, 2014: Project Plan Application Due  January – February 2015: DSRIP Implementation Planning  March 1, 2015: Implementation Plan Due  April 1, 2015: DSRIP Year 1 Begins DSRIP Timeline For detailed information, visit: https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/docs/dsrip_timeline.pdf

7  NYS DOH Program to promote the Triple Aim  Better care, better population health, lower health care costs  Select regional contractors to provide a neutral forum for identifying, sharing, disseminating and helping implement best practices  Support and advance: Prevention Agenda (PA) and State Health Innovation Plan (SHIP), DSRIP  Timeline  Optional, non-binding Letter of Interest: September 4, 2014  Application deadline: October 6, 2014 October 17, 2014 Population Health Improvement Program (PHIP)

8 PHIP Regions

9  Contracting with  Seaway Valley Prevention (lead Prevention Council)  “Hotspotting” – addressing health issues affecting disparate underserved communities  North Country Prenatal/Perinatal Council (lead Prevention Agency)  Addressing maternal & child health issues affecting disparate underserved communities  Oral health, well-child visits  Northern Area Health Education Center (NAHEC)  Enhance Wellness training of Mental Health Association staff  Wellness program for the elderly  FDRHPO  Health promotion  Community engagement  Data collection and analysis  Grant management PHIP Work Plan* Overview * Awaiting NYS DOH Approval

10 Ian Grant, MPH Rural Health Program Manager Fort Drum Regional Health Planning Organization igrant@fdrhpo.org 315-755-2020 (ext 36) For Additional Information


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