AMCH PPS Workforce Reporting September 16, 2016 Agenda Impact - - PowerPoint PPT Presentation

AMCH PPS Workforce Reporting

September 16, 2016

Agenda

• Impact Analysis

– Contract Metric ID IDS_R8 – Completes multiple milestones:

• 2- Workforce Impact Analysis and Updates
• 3- New Hire Employment Analysis and Updates
• 5- Target Workforce State (projections)
• Training template

– Multiple metrics

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What is DSRIP?

• The Delivery System Reform Incentive Payment

program is an initiative to redesign the care delivery system, specifically for Medicaid patients

• Goals include:

– A 25% reduction in avoidable hospital use – Increased patient activation – Integrated delivery system – Improved outcomes/ satisfaction

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Workforce Coordinating Council

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Impact Analysis Components

Projections of staff impact by title and by facility type through 2020

Actual New Hires 4.1.2015- 9.30.2016

Actual # Redeployed 4.1.2015- 9.30.2016

Actual # Retrained 4.1.2015- 9.30.2016

PMO Partners

PMO will report aggregate numbers of staff by facility type to project the 5 year target state. Completes Milestone #5, Target Workforce State. Based on Target/ Gap Analysis Partners will report whole numbers of individuals by facility type who meet the definition of New Hire, Retrained, Redeployed Due to DOH Q2 and Q4 of each Demonstration Year Will be reported to PMO monthly in Phase One, quarterly thereafter. Due DY2Q2 Reporting due 10 days after the completion date

State Definitions for Staffing Impact

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New Hires are all employees hired as a result of DSRIP, including employees who support the DSRIP projects and PPS infrastructure. (Re)Trained Staff are any current employees who provide services for the PPS selected projects or PPS central support who receive training and skill development for the purpose of redeployment or employees who are at risk of lay-off. Redeployed Staff are all employees who are currently employed by any PPS Partner as of DSRIP Year 1 and who transition into another job title or role with the same employer.

• Enhanced Placement Staff: compensation is >100% of their previous role
• Full Placement Staff: compensation is ≥ 95% of their previous role
• Partial Placement Staff: compensation is ≥ 75% and < 95% of their previous role
• Less than Partial Placement Staff: compensation is < 75% of their previous role

Who should be considered as a new hire?

– New hires are defined as employees who are hired as a result of DSRIP, meaning that their employment is based on a need or an activity not incurred previous to the implementation of DSRIP. – For example, if your organization hired a project manager to manage your DSRIP activities, this would be a new hire. – If your organization hired an RN to provide care management activities that were not a part of your workflow previous to DSRIP, this person would be considered a new hire. This would also be true if only a portion of this employee’s time was spent

• n these activities.

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What is the difference between a new hire and a redeployment?

– A new hire is an employee new to your organization that is hired as a result of DSRIP. Existing staff who move to a new position to support DSRIP activities (within the same

• rganization, but perhaps to a different facility type) are

counted as redeployed. – For example, an LPN who moves from his current role as a staff nurse in the ED to a position within a primary care site to provide care coordination support, has been redeployed. The difference between the salaries for both positions will indicate this employee’s placement type.

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Retrained or Redeployed?

• If an employee is being redeployed and requires training,

which category should this employee be reported under?

– For the purposes of the Staff Impact Analysis, this employee should be categorized and counted as redeployed.

• When reporting Staff Impact, should we double count

positions in multiple categories (e.g., an RN that is both retrained and redeployed to a different nursing setting), or should a given headcount only be reported in one place?

– Headcounts should only be counted in one place. For example, if an RN is redeployed and receives training as part of the redeployment effort, they would be counted in redeployed.

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So then, who counts as “Retrained?”

• Staff who are retrained (skill development) to

accept new responsibilities in their current position to support DSRIP

• Staff who are at risk of lay-off

– It is not anticipated that the PPS will experience significant, if any, lay-offs

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Reportable Facility Types

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Org rganization T Types ( (10)

Hospital Inpatient Hospital Outpatient Clinics (Article 28) Diagnostic and Treatment Centers (Article 28) Clinics (OPWDD) (Article 16) Outpatient Behavioral Health (Article 31 & Article 32) Home Care Agency Non-licensed Community Based Organization (CBO) Nursing Home/SNF Private Provider Practice Other Type (select only if no other types apply)

Reportable Job Titles

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Bachelor's Social Work (BSW) (2060) Nutritionists / Dieticians (7005) Care Manager / Coordinator (2005) Occupational Therapists (7010) Care or Patient Navigator (2010) Occupational Therapy Assistants / Aides (7015) Certified Asthma Educators (9005) Office Clerks (9550) Certified Diabetes Educators (9010) Other Mental Health / Substance Abuse Titles Requiring Certification (1020) Certified Home Health Aides (6005) Other Physician Specialties (except Psychiatrists) (5010) Clinical Laboratory Technologists and Technicians (3005) Other Registered Nurses (Utilization Review, Staff Development, etc.) (4020) Coders / Billers (9505) Patient Care Technicians (3020) Community Health Worker (2030) Patient Service Representatives (9555) Computer Hardware Maintenance (8005) Peer Support Worker (2035) Computer Technical Support (8010) Personal Care Aides (6010) Dietary/Food Service Managers (9510) Pharmacists (7020) Executive Staff (CEOs and General / Operations Managers) (9515) Pharmacy Technicians (7025) Financial Services Representatives (9520) Physical Therapists (7030) Financial Staff (Managers and Clerks) (9525) Physical Therpay Assistants / Aides (7035) Health Coach (9015) Physician Assistants in Other Specialties (5020) Health Educators (9020) Physician Assistants in Primary Care (5015) Health Information Technology Managers (8015) Primary Care Physicians (5005) Housekeeping Managers (9530) Psychiatric Aides / Technicians (1025) Human Resources Staff (Managers and Human Resource Assistants) (9535) Psychiatric Nurse Practitioners (1015) Janitors and Cleaners (9540) Psychiatrists (1005) Licensed Clinical Social Workers (LCSW) (2045) Psychologists (1010) Licensed Master's Social Workers (LMSW) (2050) Respiratory Therapists (7040) Licensed Practical Nurse (LPNs) (4035) RN and NP Care Coordinators/Case Managers/Care Transitions (2015) LPN Care Coordinators/Case Managers (2020) Secretaries and Administrative Assistants (9560) Master's Social Worker (MSW) (2055) Social and Human Service Assistants (2040) Medical Assistants (3010) Social Worker Care Coordinators/Case Managers/Care Transisition (2025) Medical Interpreters (9545) Software Programmers and Developers (8020) Nurse Managers / Supervisors (4030) Speech Language Pathologists (7045) Nurse Midwives (4025) Staff Registered Nurses (4015) Nurse Practitioners in Other Specialties (except Psychiatric NPs) (4010) Substance Abuse and Behavioral Disorder Counselors (1030) Nurse Practitioners in Primary Care (4005) Transportation (9565) Nursing Aides / Assistants (3015)

Rep eportable J e Job T Titles es ( (65)

Reporting “DSRIP Job Titles”

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*Prepared by Iroquois Healthcare Association

Current DOH Reporting Template

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But where do I report placement type information?

Current PPS Reporting Template

• 4 Tabs:

– New Hires – Redeployed – NH Summary* – RD Summary*

• Partner will complete “New Hires” and “Redeployed”

tabs

• Copy and paste special values “NH Summary” and

“RD Summary” to separate tabs in a new workbook for submission

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* Locked worksheets are automated to summarize your inputs while removing confidential employee information

Who should complete this template?

• Organization-dependent

– Unit managers (one template per organization) – HR personnel – Payroll personnel – DSRIP project managers – Other designees

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Training Templates

• Will be used to report training activities facilitated by

an organization

– Templates currently in use

• 3bi, 3diii, Audit/ Compliance
• Will not be used for

– Trainings offered through HealthStream – Trainings offered by a vendor – Trainings offered by one-time webinar (Performance Reporting)

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Training Template Components

• Instructions- All the information you need about the

training expectations

• Training- List all dates training was held and number of

people trained

• Sign In*- Printed for signature by trainees
• Roster- Staff list used to populate sign in sheets. Used

to report provider training (NPI) and to send training evaluations (email)

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*This will be printed and submitted as a PDF

New Hire Training

• New hires who fall within the job titles/ roles

who are required to complete a specific training will need to be captured on your quarterly template.

• This means an ongoing delivery of multiple

trainings

• To assist with coordination, the PMO is

developing a training schedule

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Who should complete this template?

• Organization-dependent

– Unit managers (one template per organization) – HR personnel – Training and Development personnel – DSRIP project managers – Other designees

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Summary of Workforce Reporting

• Actuals through DY2Q2 (4.1.2015-9.30.2016) due 10/10
• Projections for DY5 due 9/30 (PMO responsibility- to be

reported with October submission) – Provide an aggregate number of staff by Job Title and Facility Type for DY5 (Target State)

• Semi-annual reporting required

– Q2 & Q4

• Further guidance from DOH anticipated the week of

9/26

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Next Steps

• Impact Analysis template and Power Point

presentation will be sent out today

• FAQ document will be sent out early next

week

• Questions?

– Zoe A. Isdell, IsdellZ@mail.amc.edu – Simone Brooks, MBA, BrooksS1@mail.amc.edu – DSRIP@mail.amc.edu

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Thank you!