1. New York Hospital Queens DSRIP PPS PAC Meeting June 19, 2015 1

2. PAC Agenda Welcome DSRIP Updates Timeline Valuation PPS Updates PAC Charter Implementation Plans Governance IT Clinical Project Planning Next Steps Project Planning Organizational Committee Meetings AV Value Webinar from DOH Questions Adjourn 2

3. 3 DSRIP Updates

4. Valuation Released May 7, 2015 NYHQ PPS Valuation- $31,776,993 Timeline 4 June 1, 2015 Organizational Implementation Plan Due July 1, 2015 DY1, Q2 Begins July 31, 2015 Project Implementation Plans Due 1 st Quarterly Report (Apr-Jun) Due October 1, 2015 DY1, Q3 Begins October 31, 2015 2 nd Quarterly Report (July-Sep.) Due Workforce Projection Draft Due

5. PPS Updates 5

6. PAC Charter 6 Purpose Statement The formation of the Project Advisory Committee (PAC) is State mandated and is being created for the purpose of promoting collaboration with peer partners and other community-based providers. The Committee has an advisory role. It advises the PPS Executive Committee on all elements of the DSRIP Project Plans and will be managed by the PMO. Goals and Aims Goal 1Ensure successful collaboration of PPS partners Aim 1Provide a confidential environment to allow PPS partners to evolve as healthcare associates Goal 2Receive quarterly updates from the PMO or Committee Chairs as to the progress of projects or operations Goal 3Provide a forum for PPS partner leaders to attend meetings to be informed of PPS progress Goal 4Act as an advisory body for the planning, implementation, or outcomes of projects, policies, or processes

7. PAC Charter Deliverables Output 1Review the Community Needs Assessment & create a work plan to identify a list of projects to be presented to the Transitional Steering Committee for project approval for submission to DOH Output 2Inform committees to promote productivity, confidentiality, and collaboration Output 3Suggest quality initiatives, evidence based protocols, and performance metrics for project metrics & milestones to workgroups for plan submission Output 6Partner with consultants and the Project Management Office Output 7Support public comment processes as needed to meet State requirements Output 8Review implementation progress reports from project operational points of contact Output 9Assist with institutional issues identified during implementation or ongoing maintenance Output 10Review the PMO published bi-annual PPS report to include accomplishments, lessons learned, metric and milestone progress. (To be presented to the Executive Committee) 7

8. PPS Updates Implementation Plan Organizational Implementation Plan submitted 6/1/2015 Project Implementation Plans (New) due 7/31/2015 Governance Executive Committee- 1 st Meeting held 6/11/15 Provider Agreements IT Project Management Software Clinical Project Planning Meetings held week of 6/8 Project Implementation Plan development 8

9. PPS Updates ProjectChairVice Chair 2.a.ii Increase Certification of Primary Care Practitioners with PCMH Certification and/or Advanced Primary Care Models (as developed under the NYS Health Innovation Plan (SHIP)) Margaret CartmellMaria D’Urso 2.b.v Care Transitions Intervention for Skilled Nursing Facility (SNF) Residents Caroline KeaneMaria D’Urso 2.b.vii Implementing the INTERACT Project (Inpatient Transfer Avoidance Program for SNF) Caroline KeaneMichael Tretola 2.b.viii Hospital-Home Care Collaboration SolutionsCaroline KeaneMaria D’Urso 3.a.i Integration of Primary Care and Behavioral Health ServicesMaureen BuglinoMaria D’Urso 3.b.i Evidence-Based Strategies for Disease Management in High Risk/Affected Populations (Adults Only) Dr. SomogyiMaria D’Urso 3.d.ii Expansion of Asthma Home-Based Self-Management ProgramDr. JabbarNaaima Siddiqui 3.g.ii Integration of Palliative Care into Nursing HomesCaroline KeaneDr. Pan 4.c.ii Increase early access to, and retention in, HIV care (Focus Area 1; Goal #2) Dr. RubinKaren Francois 9

10. Implementation Plan Deliverables to PAC Implementation Plan Deliverables DY1, Q2Review PPS Governance Structure DY1, Q2Communicate Bylaws & Policies DY1, Q3Communicate Clinical Governance Structure DY1, Q3Present CBO Listing & Agreement Summary DY1, Q4Present Community Engagement Plan DY2, Q3Present VPB (Value Based Purchasing) Plan 10

11. NYHQ PPS: Governing Structure Executive Committee Executive Committee PAC AuditCompliance *Sub-Committees & Workgroups will be formed as needed. NYHQ NYHQ Lead Hospital IT & Performance Reporting NYHQ Board of Trustees Practitioner Engagement Long Term Care (SNFs, Home Care & Palliative Care) Asthma Primary Care & Behavioral Health CommunicationsWorkforce Clinical Integration Population Health Management Finance PMO PMO HIV PCMH & Cardiovascular Cultural Comp & Health Literacy Community / Stakeholder Engagement 11

12. Executive Committee Executive Committee AuditCompliance NYHQ NYHQ Lead Hospital NYHQ Board of Trustees NYHQ PPS: Governing Structure Executive Committee & Audit/Compliance Appointment ChairMaureen Buglino-NYHQ, VP, Community & Emergency Medicine Vice-Chair & Member - Clinical IntegrationAnthony Somogyi, MD-NYHQ, Chairman, Community Medicine & DIO SecretaryMaria D'Urso-NYHQ, Administrative Director, Community Medicine Member - IT CommitteeKenneth Ong, MD-NYHQ, Chief Medical Information Officer Member - Finance CommitteeFrank Hagan-NYHQ, VP, Finance Member - Workforce CommitteeLorraine Orlando-NYHQ, VP, Human Resources Member - Long Term CareMike Tretola-Silvercrest, Executive Vice President Member - Long Term CareDaniel Muskin-The Grand, Nursing Home Administrator Member - Behavioral HealthJohn Lavin-MHPWQ, Senior Officer, Development and Clinical Services Member - CBOPaul Vitale-QCCP, Treasurer Member - Home CareFaivish Pewzner-Americare, Executive VP & COO Ex-Officio Member Ashook Ramsaran-PAC Member Compliance Officer: Adam Weinstein – NYHQ Data Security Officer: Keith Weiner – NYHQ 12

13. Next Steps 13

14. Next Steps Committee Meetings Organizational Committees Next Meetings begin week of June 15 th Project Committees Complete Project Implementation Plans due 7/31/15 NYS Department of Health AV Value Webinar Attributed Population PHI Capital (CRFP) Awards 14

15. Resources 15

16. Resources NYHQ Project Management Office (PMO) Maureen Buglino – mabuglin@nyp.orgmabuglin@nyp.org Maria D’Urso – mda9005@nyp.orgmda9005@nyp.org Crystal Cheng – crc9038@nyp.orgcrc9038@nyp.org NYHQ PPS Website http://www.nyhq.org/dsrippps http://www.nyhq.org/dsrippps NYS DSRIP Website https://www.health.ny.gov/health_care/medicaid/r edesign/dsrip/ https://www.health.ny.gov/health_care/medicaid/r edesign/dsrip/ 16

17. Questions? 17