DSRIP AND PHIP Overview Rapid Response Workgroup December 2, 2014 Ian Grant, MPH Rural Health...
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Transcript of DSRIP AND PHIP Overview Rapid Response Workgroup December 2, 2014 Ian Grant, MPH Rural Health...
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 [email protected] (ext 36)
For Additional Information