Hudson Valley DSRIP Project Advisory Committee Webinar November 19, - - PowerPoint PPT Presentation

▶
hudson valley dsrip
SMART_READER_LITE
LIVE PREVIEW

Hudson Valley DSRIP Project Advisory Committee Webinar November 19, - - PowerPoint PPT Presentation

May 16, 2023 172 likes •395 views

Hudson Valley DSRIP Project Advisory Committee Webinar November 19, 2014 10:00 10:45 am Dial-in: 1-855-749-4750 Access code: 573 568 484 Confidential Not for Distribution Housekeeping Please mute your phone line Submit

slide-1
SLIDE 1

Hudson Valley DSRIP

Project Advisory Committee Webinar

November 19, 2014 10:00 – 10:45 am Dial-in: 1-855-749-4750 Access code: 573 568 484

Confidential – Not for Distribution

slide-2
SLIDE 2

Housekeeping

2

  • Please mute your phone line
  • Submit questions via the “chat” function
  • Presentation will be available for download at the end of the

webinar

Confidential – Not for Distribution

slide-3
SLIDE 3

Agenda

3

Introductions and Objectives 10:00 – 10:05 am Final Project Selection 10:05 – 10:15 am Next Steps 10:15 – 10:25 am Q&A Session 10:25 – 10:45 am

Confidential – Not for Distribution

slide-4
SLIDE 4

Meeting Objectives

4

  • Review the final projects selected for inclusion in the DSRIP application.
  • Discuss next steps and information needed from partners for completion
  • f the DSRIP application.
  • Provide a forum for questions and discussion.

Confidential – Not for Distribution

slide-5
SLIDE 5

DSRIP Timeline Moving Forward

5

*Changed from original due date of April 1

November 2014 December 2014 March 2015

November 14

  • Updated Project Plan Application released
  • Project Plan Application Prototype released
  • Capital Restructuring Financing application

released (delayed)

  • 3rd round of initial attribution results

published

April 2015

November 20

Financial Stability Test results made available

January 2015

November 24

  • Scope and Speed of Application

template released

  • Leads to submit final partner lists

in Network Tool

Mid-December

  • Capital Restructuring

Financing application due

December 22

Project Plan Application due*

March 1

Implementation Plan due*

April 1

DSRIP Year 1 begins *Delayed from original due date of December 16

Confidential – Not for Distribution

slide-6
SLIDE 6

Revised Application Highlights

6

Compared to the September 29th draft application, the revised version makes:

  • Minimal changes to the organizational section
  • Some structural changes to the project plan section of the

application, particularly with regards parameters around the scale and speed of implementation

  • Refinements or clarification to some of the project requirements

and/or associated metrics

  • The application will be used to determine project valuation. The

follow up “implementation plan” will further outline operational milestones.

Confidential – Not for Distribution

slide-7
SLIDE 7

Agenda

7

Introductions and Objectives 10:00 – 10:05 am Final Project Selection 10:05 – 10:15 am Next Steps 10:15 – 10:25 am Q&A Session 10:25 – 10:45 am

Confidential – Not for Distribution

slide-8
SLIDE 8

Anticipated Project Selections

8

Project Description Domain 2: Systems Transformation Projects

2.a.i Create an Integrated Delivery System Focused on Evidence-Based Medicine and Population Health Management 2.a.iii Health Home At-Risk Intervention Program 2.a.iv Create a Medical Village Using Existing Hospital Infrastructure 2.b.iv Care Transitions Intervention Model to Reduce 30-day Readmissions for Chronic Health Conditions 2.b.vi Transitional Supportive Housing 2.d.i Implementation of Patient Activation Activities to Engage, Educate and Integrate the uninsured and low/non-utilizing Medicaid populations into Community Based Care

Domain 3: Clinical Improvement Projects

3.a.i Integration of Primary Care and Behavioral Health Services 3.a.ii Behavioral Health Community Crisis Stabilization Services 3.b.ii Implementation of Evidence-Based Strategies in the Community to Address Chronic Disease – primary and secondary prevention projects (adult only) (Cardiovascular) 3.f.i Increase Support Programs for Maternal and Child Health (including High Risk Pregnancies)

Domain 4: Population-Wide Prevention Projects

4.b.ii Increase access to high quality chronic disease preventive care and management in both clinical and community settings (focus on chronic diseases not in Domain 3, such as cancer) 4.b.i Promote tobacco cessation, especially among low SES populations and those with poor mental health

Emerging Guidance on Metrics and Structure Necessitated Changes in Project Selection

Confidential – Not for Distribution

slide-9
SLIDE 9

Example: Project Selection Using HHP Data as a Proxy

9

Asthma Measures QARR Performance Goal Mid- Hudson Hudson Health Plan State Avg

Prevention Quality Indicator # 15 Younger Adult Asthma ± 100 135 Pediatric Quality Indicator # 14 Pediatric Asthma ± 155 319 Asthma Medication Ratio (5 – 64 Years) 78.60% 64.7% 56% Medication Management for People with Asthma (5 – 64 Years) – 50% of Treatment Days Covered 76.90% 50.2% 60% Medication Management for People with Asthma (5 – 64 Years) – 75% of Treatment Days Covered 51.20% 28.1%

Perinatal Care Measures QARR Performance Goal Mid- Hudson Hudson Health Plan

Prevention Quality Indicator # 9 Low Birth Weight ± TBD 7.3 Prenatal and Postpartum Care—Timeliness of Prenatal Care 93.90% 92% Prenatal and Postpartum Care—Postpartum Visits 81.60% 75% Frequency of Ongoing Prenatal Care (81% or more) 81.40% 81% Well Care Visits in the first 15 months (5 or more Visits) 92.90% 86.1% 87% Childhood Immunization Status (Combination 3 – 4313314) 88.90% 81.7% 78% Lead Screening in Children 97.80% 86% PC-01 Early Elective Deliveries ± TBD

We can do the project (score is 10% of 1.5 SD below goal) We cannot do the project (score is better than 10% of 1.5 SD below goal) We do not know if we can do the project (score is unknown or close) Confidential – Not for Distribution

slide-10
SLIDE 10

Example: Project Selection Using HHP Data as a Proxy

10

Cardiovascular Disease Measures Performance Goal Mid- Hudson Hudson Health Plan Statewide Average Prevention Quality Indicator # 7 (HTN)

± 0.00 (2012 Data) 82 104

PQI # 13 (Angina without procedure)

± 0.00 (2012 Data) 24 27

Cholesterol Management for Patients with CV Conditions – LDL-C Testing

95.80% 87%

Cholesterol Management for Patients with CV Conditions – LDL-C > 100 mg/dL

62.50% 52%

Controlling High Blood Pressure

73.3% (2012 Data) 64%

Aspirin Use

TBD

Discussion of Risks and Benefits of Aspirin Use

TBD

Medical Assistance with Smoking Cessation – Advised to Quit

TBD 78%

Medical Assistance with Smoking Cessation – Discussed Cessation Medication

TBD 58%

Medical Assistance with Smoking Cessation – Discussed Cessation Strategies

TBD 48%

Flu Shots for Adults Ages 18 – 64

TBD 42%

Health Literacy Items (includes understanding of instructions to manage chronic condition, ability to carry

  • ut the instructions and instruction about when to return

to the doctor if condition gets worse

TBD

We can do the project (score is 10% of 1.5 SD below goal) We cannot do the project (score is better than 10% of 1.5 SD below goal) We do not know if we can do the project (score is unknown or close) Confidential – Not for Distribution

slide-11
SLIDE 11

Example: Project Selection Using HHP Data as a Proxy

11

Diabetes Mellitus Measures Performance Goal Mid- Hudson Hudson Health Plan Statewide Average Prevention Quality Indicator # 1 (DM Short term complication) ± 0.00 (2012 Data) 85 113 Comprehensive Diabetes screening – All Four Tests (HbA1c, lipid profile, dilated eye exam, nephropathy monitor) 61.20% 49% Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) ± 24.00% 34% Comprehensive diabetes care - LDL-c control (<100mg/dL) 54.80% 41% Medical Assistance with Smoking Cessation – Advised to Quit TBD 78% Medical Assistance with Smoking Cessation – Discussed Cessation Medication TBD 58% Medical Assistance with Smoking Cessation – Discussed Cessation Strategies TBD 48% Flu Shots for Adults Ages 18 – 64 TBD 42% Health Literacy Items (includes understanding of instructions to manage chronic condition, ability to carry out the instructions and instruction about when to return to the doctor if condition gets worse TBD

Confidential – Not for Distribution We can do the project (score is 10% of 1.5 SD below goal) We cannot do the project (score is better than 10% of 1.5 SD below goal) We do not know if we can do the project (score is unknown or close)

slide-12
SLIDE 12

Final DSRIP Projects

12

Project Description Domain 2: Systems Transformation Projects

2.a.i Create an Integrated Delivery System Focused on Evidence-Based Medicine and Population Health Management 2.a.iii Health Home At-Risk Intervention Program 2.a.iv Create a Medical Village Using Existing Hospital Infrastructure 2.b.iv Care Transitions Intervention Model to Reduce 30-day Readmissions for Chronic Health Conditions 2.d.i Implementation of Patient Activation Activities to Engage, Educate and Integrate the uninsured and low/non-utilizing Medicaid populations into Community Based Care (Project 11)

Domain 3: Clinical Improvement Projects

3.a.i Integration of Primary Care and Behavioral Health Services 3.a.ii Behavioral Health Community Crisis Stabilization Services 3.c.i Implementation of Evidence-Based Strategies in the Community to Address Chronic Disease – Diabetes 3.d.iii Implementation of Evidence-Based Guidelines for Asthma Management

Domain 4: Population-Wide Prevention Projects

4.b.i Promote Tobacco Use Cessation, Especially Among Low SES Populations and Those with Poor Mental Health 4.b.ii Increase Access to High Quality Chronic Disease Preventive Care and Management in Both Clinical and Community Settings - Cancer

Confidential – Not for Distribution

slide-13
SLIDE 13

Agenda

13

Introductions and Objectives 10:00 – 10:05 am Final Project Selection 10:05 – 10:15 am Next Steps 10:15 – 10:25 am Q&A Session 10:25 – 10:45 am

Confidential – Not for Distribution

slide-14
SLIDE 14

Next Steps

14

We need your help!

To successfully complete the DSRIP application we will require the following information from you:

  • 1. Attestation Form – due by November 20th
  • 2. List of Medicaid, State, and Federal grants – due by

December 5th

  • 3. Financial Assessment Form – due by December 5th

Confidential – Not for Distribution

slide-15
SLIDE 15

Next Steps: Attestation Due by Thursday, November 20th to crhi@wcmc.com

15 Confidential – Not for Distribution

slide-16
SLIDE 16

Next Steps: Attestation Due by Thursday, November 20th to crhi@wcmc.com

16 Confidential – Not for Distribution

slide-17
SLIDE 17

Next Steps: List of Grants Due by Friday, December 5th to crhi@wcmc.com

17 Confidential – Not for Distribution

slide-18
SLIDE 18

Next Steps: Financial Assessment Due by Friday, December 5th to crhi@wcmc.com

18

Forthcoming survey will request partners’:

  • Payor mix
  • Patient volume
  • Current ratio
  • Debt to asset ratio
  • Anticipated

financial impact of implementing DSRIP projects

Confidential – Not for Distribution

slide-19
SLIDE 19

Next Steps

19

Please Respond to Important DSRIP Requests

  • 1. Attestation Form – due by November 20th
  • 2. List of Medicaid, State, and Federal grants – due by December 5th
  • 3. Financial Assessment Form – due by December 5th

Please return all completed forms to crhi@wcmc.com

Save the date!

Project Advisory Committee Webinar December 18, 2014 10:00 am – 11:30 am Register at http://www.crhi-ny.org/

Confidential – Not for Distribution

slide-20
SLIDE 20

Agenda

20

Introductions and Objectives 10:00 – 10:05 am Final Project Selection 10:05 – 10:15 am Next Steps 10:15 – 10:25 am Q&A Session 10:25 – 10:45 am

Confidential – Not for Distribution

slide-21
SLIDE 21

Contact Information

21

Executive Committee June Keenan Executive Director Center for Regional Healthcare Innovation KeenanJ@wcmc.com Deborah Viola, PhD Director, Health Services Research & Data Analytics Center for Regional Healthcare Innovation Center for Regional Healthcare Innovation P: (914) 326-4203 E: ViolaD@wcmc.com Lauren Klein Clinical Program Manager Center for Regional Healthcare Innovation P: (914) 326-4206 E: KleinL@wcmc.com Clinical & Program Planning Sub-Committee Janet (Jessie) Sullivan, MD Medical Director Center for Regional Healthcare Innovation SullivanJanet@wcmc.com Barbara Hill Senior Manager, Program & Network Relations Center for Regional Healthcare Innovation P: (914)326-4205 E: HillB@wcmc.com Peg Moran Vice President, Operations Center for Regional Healthcare Innovation P: (914) 326-4210 E: MoranPeg@wcmc.com

Confidential – Not for Distribution