Presentation on theme: "DSRIP & Bronx Partners for Healthy Communities: An Overview"— Presentation transcript:
1DSRIP & Bronx Partners for Healthy Communities: An Overview Developed by the BPHC Project Management Office
2OverviewNew York State (NYS) received federal approval to implement a Delivery System Reform Incentive Payment (DSRIP) program that will provide funding for public and safety net providers to transform the NYS health care delivery system.Goals:Achieve the Triple AIM :Better Health, Better Health Care, Lower costTransform Delivery and payment system to incentivize value over volumeEnsure delivery system transformation continues beyond the waiver period through managed care payment reformKey Program Components:Statewide funding initiative for public hospitals and safety net providersOnly coalitions of community/regional health providers are eligibleDSRIP projects based on a menu of interventions approved by CMS and NYSPayments to providers based on their performance in meeting outcome milestones and state achieving statewide metricsAdditional information about the NY State DSRIP program can be accessed here: https://www.health.ny.gov/health_care/medicaid/redesign/delivery_system_reform_incenti ve_payment_program.htm
3What is Bronx Partners for Healthy Communities (BPHC)? BPHC is an emerging Performing Provider System in the Bronx led by SBH Health System. This PPS currently consists of:160 Unique Organizations780 Total Locations/Sites5 Assisted Living Facility Locations19 Certified Home Health Agency Locations33 Diagnostic & Treatment Center Locations32 Federally Qualified Healthcare Center Locations10 Long Term Home Health Care Provider Locations13 Nursing Home Locations23 OASAS (Article 32) Provider Locations78 OMH (Article 31) Provider Locations8 OPWDD (Article 16) Provider Locations19 Skilled Nursing Facility Locations9 Sole Community Provider Locations2 Voluntary Hospitals (33 Locations)501 Other (i.e. Housing, Hospice, Community Based Organizations, LHCSA, etc.)
4BPHC Steering Committee SBH As Lead ApplicantSBH Health System has received the support and approval to serve as the lead applicant from founding members and the BPHC Steering Committee.Founding MembersAcacia NetworkBronx United IPAInstitute for Family HealthMontefiore Medical CenterMorris Heights Health CenterPuerto Rican Family InstituteSBH Health SystemUnion Community Health CenterBPHC Steering Committee1199 SEIU Healthcare Workers EastCenterlight Health SystemVisiting Nurse Service of New York
5BPHC Geographic Region The Entire Bronx BoroughPopulation: Culturally vibrant community with population of ~1.5 millionMedicaid Coverage: Highest rates of Medicaid coverage in the State (59% of Bronx residents over the course of a year)Population Health: Though the Bronx represents only 7% of the State’s population, it accounts for 22% of asthma hospitalizations and the diabetes mortality rate is 60% higher than the State’s rateSocial Factors: Poorest county in New York State with approximately 30% of residents living in poverty, and a 12% unemployment rate. Over a third of the population has unaffordable or inadequate housing.
6Project Advisory Committee Structure and Processes The Project Advisory Committee acts as the planning governance for BPHC.SBH acts as the fiduciary to the StateSBHSteering Committee approves all plans brought forward by BOC and CDPPSteering CommitteeBusiness Operations Committee (BOC)IT & AnalyticsFinanceWorkforce DevelopmentClinical Delivery and Program Planning (CDPP) CommitteeCare Management and Care TransitionsCVD/Asthma/DiabetesPrimary Care/Behavioral Health IntegrationPopulation HealthTogether, the Steering, BOC, and CDPP Committees form the PACBusiness Operations work groups* draft plans for the development of centralized services support and infrastructureClinical work groups draft project plans to be reviewed by CDPP*45 organizations are represented on work groups. There is a total of 113 members across the 7 work groups.
7Clinical Work Groups and DSRIP Project Assignments DSRIP ProjectsHealth home at-risk intervention program2.a.iCare Management & Care TransitionsED care triage for at-risk populations2.a.iiiCare transitions intervention model to reduce 30 day readmissions for chronic health conditions2.b.ivPrimary Care/ Behavioral Health IntegrationIntegration of primary care and behavioral health services3.a.iEvidence-based strategies for disease management for cardiovascular health3.b.iCVD/Asthma/DiabetesEvidence-based strategies for disease management for diabetes3.c.iExpansion of asthma home-based self-management program3.d.ii4.a.iiiStrengthen mental health and substance abuse infrastructure across systemsPopulation HealthIncrease early access to and retention in HIV care4.c.ii
8DSRIP Project Planning Timeline (Year 0) June 26Design Grant Application dueAugust 31State makes baseline data for DSRIP measures availableDecember 16DSRIP Project Plan Application dueEarly MarchDSRIP Project Plan Awards madeOctober 22Public comments due on draft DSRIP Project Plan applicationMid-Nov.PPS to submit final Network ListsMay 15Letter of Intent dueAugust 6Design Grant Awards madeAugust 2014December 2014April 2015May 2014Early Sept.Initial PPS Attribution Logic Run for PPS*November 14State releases final electronic DSRIP Project Plan ApplicationApril 1DSRIP Year 1 beginsJanuary 20Public comments due on DSRIP Project Plan applicationsSeptember 22State releases draft DSRIP Project Plan Application and Application Review ToolLate Nov.-Early Dec.Final attribution will be made available to PPSRed text=Pending State deliverables*Date likely to be delayedNOTE: Timeline may change at State’s discretion.