DSRIP AND PHIP OverviewRapid Response Workgroup

December 2, 2014

Ian Grant, MPHRural Health Program ManagerFort Drum Regional Health Planning Organization

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)

What is DSRIP?

For more information, visit: https://www.health.ny.gov/health_care/medicaid/redesign/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

What is DSRIP?

For more information, visit: https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/

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)

Proposed DSRIP Projects for the North Country

For more on the North Country DSRIP: https://sharepoint.fdrhpo.org/public/NCI-DSRIP/_layouts/15/start.aspx#/SitePages/Home.aspxGet weekly updates when you sign up for the DSRIP 5 FAST FACTS email (using the link above)

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)

Proposed DSRIP Projectsfor the North Country

For more on the North Country DSRIP: https://sharepoint.fdrhpo.org/public/NCI-DSRIP/_layouts/15/start.aspx#/SitePages/Home.aspxGet weekly updates when you sign up for the DSRIP 5 FAST FACTS email (using the link above)

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

DSRIP Timeline

For detailed information, visit: https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/docs/dsrip_timeline.pdf

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

Population Health Improvement Program (PHIP)

PHIP Regions

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

PHIP Work Plan* Overview

* Awaiting NYS DOH Approval

Ian Grant, MPHRural Health Program ManagerFort Drum Regional Health Planning Organizationigrant@fdrhpo.org315-755-2020 (ext 36)

For Additional Information