PROJECT ADVISORY COMMITTEE (PAC) Tuesday, June 30, 2015 9:00am-12:00pm Islandia Marriott Long Island Hosted by the Office of Population Health at Stony Brook Medicine 1
AGENDA Joseph Lamantia, 9:00 a.m. – 9:30 a.m. Welcome Remarks & Chief of Operations for Program Updates Population Health Stony Brook Medicine Joseph Lamantia, Chief of Operations for Community Based Organization (CBO) Engagements 9:30 a.m. – 9:40 a.m. Population Health Stony Brook Medicine Gwen O’Shea, President/CEO 9:40 a.m. - 10:10 a.m. CBO Panel Discussion Health & Welfare Council of Long Island BREAK 10:10 a.m. – 10:20 a.m. Stacey Mallin, MPA, CPHQ, PCMH CCE, CLSSBB Patient Centered Medical Home (PCMH) Model Patient Centered Medical Home Advisor 10:20 a.m. – 10:40 a.m. HANYS Solutions James Sinkoff, 10:40 a.m. – 11:10 a.m. PCMH Panel Discussion EVP, Financial, Information and Business Services & CFO Hudson River HealthCare, Inc. Amy Solar-Doherty, Project Manager Project 2di: The 11 th Project 11:10 a.m. – 11:30 a.m. Office of Population Health Stony Brook Medicine Joseph Lamantia, Closing Remarks Chief of Operations for 11:30 a.m. – 12:00 p.m. Question & Answers Population Health Stony Brook Medicine 2
PROGRAM UPDATES Presented by Joseph Lamantia Chief of Operations for Population Health Stony Brook Medicine Alyssa Correale, MHA, PMP Director, Project Management Office Office of Population Health 3
MEETING OBJECTIVES NYS DSRIP Milestones DSRIP Funding & Award Letter Overview DSRIP Implementation Plan Submission on June 1 st Introduction to Achievement Values & Key Reporting & Payment Timelines PMO Work Plan Highlights for June, July & August Key elements of the SCC Communication Plan Community Based Organization Engagement & Panel Discussion The Patient Centered Medical Home (PCMH) Model & Panel Discussion Project Highlight: The 11 th Project Pilot Program and Developments 4
NYS DSRIP PROGRAM KEY MILESTONES 6/1/2015: Initial Implementation October: NYS CRFP Q2-Q3 2015 Q4 2015 Plan Submitted Announcements 7/1/2015: IA provides feedback 10/1/2015: Final Implementation to PPS on Implementation Plan Plan posted to DOH DSRIP website Early-July: First Claims Extract 10/31/2015: Second Quarterly 7/17/2015 All-PPS Meeting, Report Due from PPS Albany, NY 7/30/2015: Final Approval of Implementation Plan 7/31/2015: First Quarterly Report Due 8/31/2015: IA provide feedback to PPS on Quarterly Report 9/29/2015: Final Approval of Quarterly Report 5
SUFFOLK PPS AWARD Period of Agreement: April 1, 2015 To: December 31, 2020 Net Project Net High Additional Public Equity Public Equity Total Valuation Performance High Guarantee Performance Valuation Fund Performance Fund $ 181,115,320 $ 4,200,998 $10,045,427 $58,971,622 $44,228,717 $298,562,084 Suffolk PPS Award of funds is contingent on our ability to meet DOH deliverables and performance measure targets. NYS Total Valuation Grand Total $ 7,385,825,815 6
SUFFOLK PPS AWARD DEFINED • Net High Performance Fund : PPS that achieve 20% gap-to-goal or the 90th percentile of the statewide performance for 10 high performance metrics are eligible for additional payment from this program. • Example: Project 3ai: Follow-up for Hospitalization for Mental Illness at 7 and 30 days • Additional High Performance Fund : The Additional High Performance Program is appropriated from state funds. This will provide supplemental high performance funding against the same DSRIP measures already identified for high performance payments • Public Equity Guarantee : Award pool available to public leads that are sole PPS in a given county. • Public Equity Performance : Award pool available to public leads that are sole PPS in a given county. Source: NYS DOH Presentation Presented June 2015 – Final DSRIP Valuation Overview 7
IMPLEMENTATION PLAN SUBMITTED JUNE 1ST Key Submission Requirements: • Organizational Work stream work plans o Workforce, Governance, Cultural Competency & Health Literacy, Financial Sustainability, IT Systems, Practitioner Engagement, Performance Reporting, Funds Flow, Budget, Population Health Management, Clinical Integration • Risk & Risk Mitigation Strategies by Organizational Work stream • Project Dependencies • Key Project Stakeholders, Internal & External Stakeholders • Project 2ai: Creating an Integrated Delivery System Project work plan • Domain 1 Patient Engagement Quarterly Metrics Visit our website www.suffolkCare.org for the full SCC DSRIP Implementation Application 8
EARNING ACHIEVEMENT VALUES “AV S ” What is an Achievement Value (AV)? • AVs are the points given for achieving milestones in a given reporting period for Domains 1-4. • Pay-for-Performance AVs are AVs earned through improving quality performance (by 10%) for individual measures based on PPS-specific baseline results for each measure and the state performance targets for each measure. • Pay-for-Reporting AVs are AVs earned for measures regardless of performance; some measures require PPS cooperation in reporting. • AVs are typically calculated as either a 1 or 0, which correlates to either “meeting” or “not meeting” a milestone. Source: NYS DOH Presentation Presented June 18 th 2015 – DSRIP Incentive Payment Domain 2-4 Achievement Values 9
PAY FOR PERFORMANCE FUNDING SCHEDULE • Over the life of the waiver, funding shifts from process milestones (Domain 1) and reporting (P4R) to performance (P4P): Annual Funding Percentages Domain Payment DY 1 DY 2 DY 3 DY 4 DY 5 Domain 1 P4R 80% 60% 40% 20% 0% Project Process Milestones Domain 2 System Transformation & P4P 0% 0% 20% 35% 50% Financial Stability Milestones P4R 10% 10% 5% 5% 5% Domain 3: Clinical Improvement P4P 0% 15% 25% 30% 35% Milestones P4R 5% 10% 5% 5% 5% Domain 4: Population Health Outcomes P4R 5% 5% 5% 5% 5% Source: NYS DOH Presentation Presented June 18 th 2015 – DSRIP Incentive Payment Domain 2-4 Achievement Values 10
DOH DSRIP DEMONSTRATION YEAR TIMELINE & PAYMENT SCHEDULE Domain 1 AVs are tied to semi-annual payment based on completing all Domain 1 requirements Demonstration Reporting Period Quarterly Report Due Payment Due Year & Quarter* 4/1/15 – 6/30/15 DY 1, Q1 July 31, 2015 January 2016 DY 1, Q2 7/1/15 - 9/30/15 October 31, 2015 10/1/15 – 12/31/15 DY 1, Q3 January 31, 2015 July 2016 1/1/16 – 3/31/16 DY 1, Q4 April 30, 2016 4/1/16 – 6/30/16 DY 2, Q1 July 31, 2016 January 2017 7/1/16 – 9/30/16 DY 2, Q2 October 31, 2016 10/1/16 – 12/31/16 DY 2, Q3 January 31, 2017 July 2017 DY 2, Q4 1/1/17- 3/31/17 April 30, 2017 Table continues through DY 5* The SCC PMO is currently preparing for the first DSRIP Quarterly Report Due July 31, 2015 Source: Department of Health presentation on April 21, 2015 entitled “DSRIP Domain 1 Achievement Values “ 11
DOH DSRIP DEMONSTRATION YEAR TIMELINE & PAYMENT SCHEDULE Domain 2-4 AVs are tied to semi-annual payment based primarily on measures calculated annually Measurement Period Demonstration DSRIP Year Date Range Payments Used for Domain 2-3 Year* AVs DY 1 4/1/2015- 3/31/2016 Payment 1: Q2 N/A (9/30/2015) Payment 2: Q4 Measurement Year 1 7/1/2014 – 6/30/2015 (3/31/2016) 4/1/2016 – 3/31/2017 DY 2 Payment 1: Q2 Measurement Year 1 7/1/2014 – 6/30/2015 (9/30/2016) Payment 2: Q4 Measurement Year 2 (3/31/2017) 7/1/2015 - 6/30/2016 4/1/2017 – 3/31/2018 DY 3 Payment 1: Q2 Measurement Year 2 (9/30/2017) 7/1/2015 - 6/30/2016 Payment 2: Q4 Measurement Year 3 (3/31/2018) 7/1/2016 - 6/30/2017 Table continues through DY 5* Source: NYS DOH Presentation Presented June 18 th 2015 – DSRIP Incentive Payment Domain 2-4 Achievement Values 12
PMO WORK PLAN June July August Ongoing Program Design Use aggregated baseline assessment results to determine SCC Partner Scope of Work Continue to identify &/or brainstorm risks and complimentary risk mitigation strategies Sustain high partner engagement via communication strategies Initiate SCC Primary Care Practice Baseline Assessment & Initiate Gap Analysis Identification of linkages across 11 DSRIP projects Refine project design, budget and schedule Project Implementation Initiate Project Management Plans in Performance Logic PM Software Lessons Learned & Change Control 13
PMO JULY CALENDAR Date Time Upcoming Project Stakeholder Meeting 9:00am – 10:00am 7/1/2015 Project 2di PAM Workgroup Meeting 7/15/2015 9:00am - 10:30am Project 3ai BH&PC Committee Meeting 9:00am – 10:00am 7/16/2015 Project 4aii SBIRT Workgroup Meeting Project 4bii Colorectal Cancer Screening Education 7/16/2015 10:30am-11:30am Workgroup Meeting Week of 7/20 th TBA Project 2biv & 2bix Hospital Partner Workgroup 7/21/2015 TBA Project 2bvii INTERACT Committee 7/22/2015 9:00am-10:00am Project 4bii Breast Cancer Screening Workgroup Meeting 10:00am – 11:00am 7/27/2015 Performance Evaluation & Management Workgroup 7/28/2015 8:00am-9:00am Project 4bii Lung Cancer Screening Workgroup Meeting 7/30/2015 11:00am-12:00ppm Project 4bii Obesity Prevention Workgroup Meeting 1:00pm – 2:00pm 8/7/2015 Project 3bi CVD Committee Meeting Please visit our website www.suffolkCare.org for the full compliment of Project Meetings 14
Recommend
More recommend
