NYP/Q PPS PAC Meeting
NYP/Q PPS
December 3, 2015
Agenda
1. Welcome
2. DSRIP Updates
1. Opt Out Letters
2. Quarterly Report
3. PPS Updates
1. Clinical Governance Structure
2. CBO Agreement Plan
3. Cultural Competency & Health Literacy
4. MAX Series
4. Next Steps
5. Questions
6. Adjourn
2
NYP/Q PPS PAC Meeting
NYP/Q PPS PAC Meeting
DSRIP Updates
3
NYP/Q PPS PAC Meeting
DSRIP Updates
 Opt Out Letters
- Phase I completed November 2015
 Included beneficiaries eligible as of 9/25/15, HARP eligible, and claims for
ambulatory sensitive conditions
- Phase II will be done February-March 2016
 Will include all Medicaid beneficiaries not included in Phase I (approx. 5M
members)
 Quarterly Reports
- PPS received minimal IA feedback for Q2 report
- Comprehensive update on PPS activities and accomplishments in Q3 (OctDec 2015)
 PPS will report on 10 milestones and 215 tasks due this quarter
4
NYPQ PPS PAC Meeting
Key Dates for DSRIP
December
•
•
•
•
12/04: Provider Network Closes
12/11: DOH All PPS Meeting
12/17: Executive Committee
12/31: DY1, Q3 Ends
January
• TBD: PAOP Presentation
• 01/31: DY1, Q3 Report due
5
NYPQ PPS PAC Meeting
NYP/Q PPS PAC Meeting
PPS Updates
6
NYP/Q PPS PAC Meeting
Quarterly Report
DY1, Q2
 Provided updates on all milestones & tasks
- Completed 2 milestones & 52 tasks
 Workforce
- Submitted the workforce implementation plan for approval by IA
 Engaged Patients
- Met the minimum 80% threshold on all projects except project 3.b.i
- Cardiovascular Project (3.b.i) met 77% for actively engaged patients
7
NYPQ PPS PAC Meeting
PPS Clinical Governance Structure
Clinical & Quality Integration Committee
 Committee Structure
- Reports to the Executive Committee
- Membership includes the chairs of the clinical and IT/performance reporting
committees and a RHIO representative
 Committee Function
- Reviews and approves clinical best practices, evidence based guidelines,
and clinical recommendations from the project sub-committees
- Ensures quality oversight of clinical project implementation
- Responsible for partnering with IT to create strategy for clinical integration
across PPS partners
8
NYPQ PPS PAC Meeting
PPS Clinical Governance Structure
Clinical & Quality Integration Committee
 Best Practice Approvals
- 2.a.ii: PCMH roadmap & preventative care screenings
- 2.b.vii: INTERACT tools
- 3.a.i: Co-location sites & preventative care/behavioral health screenings
- 3.b.i: Hypertension & lipid screening
9
NYPQ PPS PAC Meeting
PPS Governance
CBO Contracting Plan
 The PPS will contract with identified CBOs to aid in the execution of
DSRIP deliverables
- Contracts will be executed in December 2015
Community Based
Organization
Queens Coordinated Care
Partners
Elmcor Youth and Adult
Activities, Inc.
Asthma Coalition of
Queens - American Lung
Association of the
Northeast
10
NYPQ PPS PAC Meeting
DSRIP Goal
Work with this Health Home to establish bottom up health
home referrals and thus increase utilization of health home
services
Work with this OASAS provider to establish best practices
for “warm transfer” for referrals to substance abuse
facilities
Work with the CBO to educate the pediatric providers on
best practices for home assessments for asthma
PPS Cultural Competency & Health Literacy
Strategy
 Key Concepts of the PPS strategy on CCHL:
- Identify key priority groups
- Identify key priority groups experiencing health disparities through a community
needs assessment
- Identify factors to improve access to quality primary, behavioral, and preventive
care
- Survey partners on their cultural competency and health literacy needs
- Enhance communication with the attributed population
- Deploy assessments/tools to assist patients with self-management
- Improve provider and community-based organization’s cultural competency
- Leverage community-based interventions to reduce health disparities and
improve outcomes
- Ensure sensitivity to patient preferences on provider/interpreter gender
11
NYPQ PPS PAC Meeting
DOH MAX Series
Integration of Primary Care & Behavioral Health
 MAX is a learning collaborative incorporating evidence-based
methodologies to maximize efficiency in clinical processes and
implement sustainable change
 Brightpoint Health is participating
 Participating in the MAX will help the PPS to:
- Complete project requirements/milestones for 3.a.i
- Earn potential high performance funds
- Qualify for EIP/EPP payments
12
NYPQ PPS PAC Meeting
NYP/Q PPS PAC Meeting
Next Steps
13
TDSRIP PAC Meeting
Next Steps
 Project roll-out with PPS partners
 Ensure completion of all Q3 deliverables
 Quarterly Reports
- Complete DY1, Q2 feedback upon receipt- December 2015
- Submit DY1, Q3 Report- January 2016
 Plan for Q4 Deliverables
14
NYP/Q PPS PAC Meeting
NYP/Q PPS PAC Meeting
Questions?
15
NYPQ PPS PAC Meeting