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NYP/Q PPS PAC Meeting NYP/Q PPS September 22, 2015.

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Presentation on theme: "NYP/Q PPS PAC Meeting NYP/Q PPS September 22, 2015."— Presentation transcript:

1 NYP/Q PPS PAC Meeting NYP/Q PPS September 22, 2015

2 Agenda 1.Welcome 2.DSRIP Updates 1.CRFP Timeline 2.Medical Record Review 3.PPS Updates 1.PPS Governance 2.PPS Quarterly Reports 3.PPS IT Current State Analysis 4.DSRIP Learning Collaborative 5.PMO Tools 4.Next Steps 5.Questions 6.Adjourn NYP/Q PPS PAC Meeting2

3 3 DSRIP Updates

4  CRFP Applications -Window for resubmission re-opened from August 7 th - September 1 st -DOH/DASNY plans to announce awards in October  Deliverables -Workforce projections delayed to DY1, Q4 -Compensation & Benefit Analysis delayed to DY2, Q1  DOH Document Updates -DSRIP FAQ Document: http://www.health.ny.gov/health_care/medicaid/redesign/docs/dsrip_faq.pdf http://www.health.ny.gov/health_care/medicaid/redesign/docs/dsrip_faq.pdf -Timeline: https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/timelines/yea r_1_timeline.htm NYP/Q PPS PAC Meeting4

5 DSRIP Updates  Medical Record Review -Vendor will be contacting partners directly -Random Sampling for chart review will be requested from PPS partners from September-November 2015  1269 charts will be reviewed for the PPS -3 Measures that require medical record review  Screening for Clinical Depression and Follow-Up (SCD)  Cholesterol Management for Patients with CV Conditions (CMC)* -Pending replacement metric from CMS  Controlling High Blood Pressure (CBP) NYPQ PPS PAC Meeting5

6 Key Dates for DSRIP September 9/15: Regulatory Waivers Requests Due 9/17-9/18: DSRIP Learning Collaborative 9/24: IA Remediation Feedback Due 9/30: End of DY1, Q2 October TBD: CRFP Awards Announced 10/1: DY1, Q3 Begins 10/7: NYP/Q PPS Town Hall Meeting 10/30: DY1, Q2 Quarterly Report due NYPQ PPS PAC Meeting6

7 NYP/Q PPS PAC Meeting 7 PPS Updates

8 Governance  Provider Contracts & Policies: -Approved by Executive Committee -Pending Executive Committee Approval TDSRIP PAC Meeting8 Master Partner AgreementsPolicies/Bylaws Provider Collaboration AgreementsOperating Standards Business Associate Agreements (BAA)Conflict Resolution Policy Corrective Action & Hearing Policy Code of Conduct Policies/Bylaws Compliance Plan & PolicyFunds Flow Policy Data Sharing & Use PolicyPerformance Monitoring & Evaluation Policy

9 PPS Quarterly Reports  1 st Quarterly Report (DY1, Q1) submitted in July -IA provided minimal feedback  Enhance roles & responsibility description for practitioner engagement & population health management  Enhance language around home based asthma program utilization of national standards for project -Final report due to the IA September 24 th  DY1, Q2 ends September 30 th -PPS will submit its 2 nd Quarterly Report by October 31 st -Report will include updates on DY1, Q2 deliverables and data security plans NYP/Q PPS PAC Meeting9

10 PPS Partner Surveys TDSRIP PAC Meeting10

11 1 st Annual Learning Symposium  PMO staff and select PPS partners attended to hear best practices and lessons learned from NYS PPSs  Themes from the symposium included: -Integrated Delivery System creation -Provider Engagement -Value Based Purchasing -Behavioral Health Integration -IT Implementation NYPQ PPS PAC Meeting11

12 PMO Tools- Performance Logic NYPQ PPS PAC Meeting12

13 PMO Tools- Performance Logic NYPQ PPS PAC Meeting13

14 NYP/Q PPS PAC Meeting TDSRIP PAC Meeting14 Next Steps

15  Project roll-out with PPS partners  Submission of DY1, Q2 quarterly report  Focus on deliverables for DY1, Q3 NYP/Q PPS PAC Meeting15 Work StreamMilestone Name Cultural Competency Finalize cultural competency/ health literacy strategy Financial Sustainability Finalize PPS finance structure, including reporting structure Financial Sustainability Finalize Compliance Plan consistent with New York State Social Services Law 363-d Funds Flow Complete funds flow budget and distribution plan and communicate with network Governance Establish governance structure reporting and monitoring processes GovernanceFinalize partnership agreements or contracts with CBOs Governance Establish a clinical governance structure, including clinical quality committees for each DSRIP project Governance Inclusion of CBOs in PPS Implementation. IT Systems Perform current state assessment of IT capabilities across network, identifying any critical gaps, including readiness for data sharing and the implementation of interoperable IT platform(s).

16 NYP/Q PPS PAC Meeting NYPQ PPS PAC Meeting16 Questions?


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