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. What is DSRIP?
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)
For more information, visit:

3. What is DSRIP? 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
For more information, visit:

4. Proposed DSRIP Projects for the North Country
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)
For more on the North Country DSRIP:
Get weekly updates when you sign up for the DSRIP 5 FAST FACTS (using the link above)

5. Proposed DSRIP Projects for the North Country
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)
For more on the North Country DSRIP:
Get weekly updates when you sign up for the DSRIP 5 FAST FACTS (using the link above)

6. DSRIP Timeline 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
For detailed information, visit:

7. Population Health Improvement Program (PHIP)
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

8. PHIP Regions

9. PHIP Work Plan* Overview
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
* Awaiting NYS DOH Approval

10. For Additional Information
Ian Grant, MPH Rural Health Program Manager Fort Drum Regional Health Planning Organization (ext 36)