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DSRIP Meeting Agenda
PAGE 1
Date and Time 11/17/15, 10-11am
Meeting Title NYP PPS IT/Data Governance Committee
Location Heart Center Room 3
Facilitator Steven Kaplan, Niloo Sobhani, Anname Phann
Go to Meeting https://global.gotomeeting.com/join/121616565
Conference Line Dial +1 (646) 749-3122 Access Code: 121-616-565
Invitees
Co-Chair: Anname Phann (NYC DOHMH PCIP/REACH) Co-Chair: Niloo Sobhani, Steven Kaplan, MD (NYP)
Kate Nixon (VNSNY) Daniel Lowy (Argus)
Betty Cheng (CBWCHC) Greg Fortin (Isabella)
Andres Pereira, MD Jairo Guzman (Coalicion Mexicana)
Taeko Frost (WH CORNER Project) Todd Rogow (Healthix)
Meeting Objectives Time
1. Introduce Lauren Alexander, Manager of Community Relations 2. Review Action Items from Previous Meeting 3. Future meeting schedule, timeline, and milestone details 4. Review Approach to Team-Based Care 5. Two Tracks for Healthix Integration 6. Healthix Implementation Approach Gantt Chart 7. Review NYP PPS IT Readiness Assessment 8. Identify next steps
5 mins
10 mins 5 mins 5 mins
20 mins 10 mins 5 mins
Action Items
Description Owner Start Date Due Date Status
Investigate opportunity for cross-PPS meeting I. Kastenbaum 6/23/15 7/10/15 In-Progress
Review funding streams (PTN and SHIP) A. Lin 6/23/15 7/10/15 ?
Schedule On-Going Monthly Meetings for PPS Committee; though likely meet bimonthly
I. Kastenbaum 8/18 9/1 Complete
Distribute Healthix-accepted EHRs I. Kastenbaum / T.
Rogow 8/18 9/1 Complete
Check-in on NYS-wide Patient Portal A. Phan 8/18 9/1 Complete
DSRIP Meeting Agenda
PAGE 1
Date and Time 11/17/15, 10-11am
Meeting Title NYP PPS IT/Data Governance Committee
Location Heart Center Room 3
Facilitator Steven Kaplan, Niloo Sobhani, Anname Phann
Go to Meeting https://global.gotomeeting.com/join/121616565
Conference Line Dial +1 (646) 749-3122 Access Code: 121-616-565
Attendees
Co-Chair: Anname Phann (NYC DOHMH PCIP/REACH) Co-Chair: Niloo Sobhani, Steven Kaplan, MD (NYP)
Kate Nixon (VNSNY) Daniel Lowy (Argus)
Nick Egelson (CBWCHC) Greg Fortin (Isabella)
Andres Pereira, MD Angela Martin (VNSNY)
Sam Merrick (NYP) Todd Rogow (Healthix)
Alvin Lin (PCIP) Nat Brown (NYP)
Lauren Alexander (NYP) Isaac Kastenbaum (NYP)
Patricia Hernandez (NYP) Adriana Matiz (NYP)
Steve Lam (CBWCHC)
Meeting Objectives Time
1. Introduce Lauren Alexander, Manager of Community Relations 2. Review Action Items from Previous Meeting 3. Future meeting schedule, timeline, and milestone details 4. Review Approach to Team-Based Care 5. Two Tracks for Healthix Integration 6. Healthix Implementation Approach Gantt Chart 7. Review NYP PPS IT Readiness Assessment 8. Identify next steps
5 mins
10 mins 5 mins 5 mins
20 mins 10 mins 5 mins
Action Items
Description Owner Start Date Due Date Status
Share slides from last meeting with Committee members
L. Alexander 11/17/2015 1/14/2016 Complete
Obtain clarity on employees vs. providers on the IS health assessment
P. Hernandez 11/17/2015 12/11/2015 Complete
Address conversation about cross-PPS care coordination
P. Hernandez 11/17/2015 1/19/2016 In progress
MINUTES:
I. Kastenbaum and Dr. S. Kaplan opened the meeting and introduced Lauren Alexander, new Manager of DSRIP Community Relations.
L. Alexander reviewed the action items from the last meeting.
A. Lin provided an overview of the various funding streams that are being used in transforming the health care system from a fee-for-service payment model to value-based payment model.
o Dr. S. Merrick asked for clarity on what types of entities quality for which types of funds. o There was also a question about whether APC and PCMH were complimentary.
L. Alexander reviewed the IT/Data Governance Committee upcoming meeting schedule, timeline and milestone details.
o The Committee will meet bimonthly. A monthly meeting will be maintained on the schedule in case the time is needed, but will likely be canceled.
DSRIP Meeting Agenda
PAGE 2
o Meeting agendas are being aligned with activities related to the IS organizational deliverables and the due dates of these requirements.
Dr. S. Kaplan reviewed the concept of team-based care.
N. Brown discussed the two tracks that will drive interoperability efforts, including highly connected collaborators (will require substantial information exchange) vs. connected collaborators (modest information exchange).
o These tracks were developed based on level of project engagement. They are fluid and can be updated as needed based on the level of care coordination and documentation required of an organization participating in the PPS.
o Both highly connected and connected collaborators will receive Healthix, which will be implemented on a phased timeline. Healthix will include portal access for all collaborators and other features as necessary (i.e. event notification).
o Only high connected collaborators will receive ACD which will support collaborative care planning and documentation.
o Drs. S. Merrick and A. Matiz asked whether CUMC and WCMC were considered connected or highly connected. The group agreed that a separate internal process and set of discussions would need to take place from the main implementation process for these two entities. As part of this, an in-house delivery timeline will be created.
o Dr. S. Merrick asked about whether EPIC Care Management fits into this implementation plan. Addressing this issue requires a separate, local dialogue at the WCMC campus.
o N. Egelson raised the issue of organizations that are in multiple PPSs being instructed to use of various care management systems, which can be burdenson for collaborators. D. Lowy indicated that this is also an issue for organizations in multiple health homes.
N. Brown reviewed the Healthix Implementation Approach.
A. Phaan reviewed the Current-State HIE Readiness Assessment. The assessment will be facilitated in-person for highly connected collaborators and will be conducted via online survey for the connected collaborators. The assessment covers the following:
Organizational overview IT contacts IT systems in place at the organization RHIO information
o D. Lowy asked for clarification on the difference between number of providers and number of employees. IT team to get more clarity on this.
o A question was asked about how Healthix information is shared with the Interboro Bronx RHIO.
Dr. S. Kaplan reviewed action items for the next meeting and closed the meeting.
Agenda
Future meeting schedule, timeline, and milestone details
Review Approach to Team-Based Care
Two Tracks for Healthix/ACD Integration
Healthix Implementation Approach Gantt Chart
Review NYP PPS IT Readiness Assessment
2
Meeting Schedule Timeline
Bi-Monthly IT Data Governance Meetings:
– August
– November
– January
– March
– May
– July
IT Milestones Project Dates:
– Dec-Mar: IT Readiness Assessments Completed
– Jan-Jun: Highly-Connected Collaborators on Healthix
– Apr-Oct: Connected Collaborators on Healthix
– Mar-May: Attributed Member Engagement Plan Completed
– Jan-Jul: Change Management Plan Completed
3
Meeting Schedule Details
4
Quarter Date Task
DY1 Q1 August IT/Data Governance Meeting
Review HIE Strategy
DY1 Q2 November IT/Data Governance Meeting
Review Healthix Implementation Approach
Review Current State IT and HIE Readiness Assessment
DY1 Q4 January IT/Data Governance Meeting
Review Results of Highly-Connected Current State IT Responses
Review Highly-Connected-Collaborator Current State IT Gap Mitigation Plan
Review Healthix / PPS training plan
Review Healthix Connectivity Process for Highly-Connected-Collaborator
Review ACD Connectivity Process for Highly-Connected-Collaborator
Review standards for shared documentation
DY1 Q4 March IT/Data Governance Meeting
Report on progress of Healthix Connectivity Process for Highly-Connected-Collaborator
Report on progress of ACD Connectivity Process for Highly-Connected-Collaborator
Review Connected-Collaborator Current State IT Assessment Responses
Review Connected-Collaborator Current State IT Gap Mitigation Plan
Review Healthix Connectivity Process for Connected-Collaborator
DY2 Q1 May IT/Data Governance Meeting
Review Plan to Engage Attributed Members through Healthix
DY2 Q1 July IT/Data Governance Meeting
Report on progress of Healthix Connectivity Process for Highly-Connected-Collaborator
Report on progress of Healthix Connectivity Process for Connected Collaborator
Review IT Change Management Process
Review Approach to Team-Based Care
Two Tracks
– Highly-Connected-Collaborators
– Connected-Collaborators
Healthix
– Phased timeline by Collaborator Track
– Portal Access for all Collaborators
– Other versions as necessary (e.g. event notifications)
Allscripts Care Director
– Based on Health Home model
– Implemented at Highly-Connected-Collaborators
– Will support collaborative care planning and documentation
5
Two Tracks for Healthix Integration
6
Track A: Highly-Connected-Collaborators
Argus Community NYS Psych Institute
ACMH Riverstone Senior Life Services
ASCNYC Upper Manhattan Mental Health Center
The Bridge Village Care
Charles B. Wang Community Health Center VNSNY
Columbia University Medical College Washington Height CORNER Project
Community Healthcare Network Weill Cornell Medical College
Create, Inc. Community Physician - Andres Periera
Dominican Women's Development Center Community Physician - Clarinelda Campusano, MD
Harlem United Community Physician - Gabriel Guardarramas, MD
Hebrew Home Community Physician - Jose Jerez, MD
Isabella Geriatric Community Physician - Sofia Dela Cruz Medical Practice
MJHS Community Physician - Theodore C. Docu MD, PC
January – June 2016
Two Tracks for Healthix Integration
7
Track B: Connected-Collaborators Empire State Home Care Services
(ArchCare)
Northern Manhattan Perinatal Partnership
1199 Training Fund Extraordinary Home Care d.b.a St. Mary's
Home Care (St. Mary's Healthcare System
for Children)
Northside Center for Child Development
(multiple locations)
Access CHC Fort George Community Enrichment
Center
NY Center for Child Development
AIDS Healthcare Foundation Fountain House Palisades Nursing Home Company (Hebrew
Home)
AJS Medical Practice (AIDS Healthcare
Foundation)
God’s Love We Deliver Project Renewal, Inc.
Amsterdam Nursing Home Goddard Riverside Quick Rx
Association to Benefit Children Hebrew Home for the Aged at Riverdale
(Hebrew Home)
Realization Center, Inc.
Blythedale Children's Hospital New York Legal Assistance Group Boan Drug, Inc. (CityDrug & Surgical)
Elizabeth Seton Pediatric Center / Childrens
Rehab Center (Elizabeth Seton Pediatric
Center)
Northern Manhattan Improvement
Corporation
BOOM Health
April – October 2016
Two Tracks for Healthix Integration
8
Track B: Connected-Collaborators (con’t) Community League of the Heights Service Program for Older People
C&C Drug, Inc. (CityDrug & Surgical) Cornerstone Treatment Facilities St. Christopher's Inn
Calvary Hospital Dominican Sisters Family Health Service
(Bon Secours)
St. Mary's Healthcare System for Children
CASES Heights Pharmacy. Inc. d.b.a CityDrug &
Surgical (CityDrug & Surgical)
St. Mary's Center - Harlem
Catholic Resources, Inc. (ArchCare) Hylan Boulevard Physical Medicine and
Rehabilitation
St. Vincent de Paul Residence (ArchCare)
City Meals on Wheels Inwood Community Services Terrence Cardinal Cooke Health Care
Center (ArchCare)
City Medical of Upper East Side PLLC
(CityMD)
Iris House Union Settlement Association
CityDrug & Surgical, Inc. (CityDrug &
Surgical)
Island Care Pharmacy
Coalicion Mexicana Schervier Nursing Home (Bon Secours)
DSRIP CONNECTED CBOs: Current-State HIE Readiness Assessment
Section 1: Administrative
1. Name of your organization
2. Name of person completing this form
3. DSRIP project(s)
Section 2: Organizational
4. Organization’s address or location(s)
5. Type of organization and any affiliates
6. Services that organization will provide under NYP DSRIP program
7. Size of organization (please complete all that are relevant)
a. Approximate number of encounters per year
b. Number of beds
c. Number of providers
d. Number of employees
i. Number of administrative employees that would need data access
ii. Number of clinical employees that would need access to PPS data
8. Does your organization have a licensed SAMHSA/OASIS program (please specify)
Section 3: IT Contacts
9. IT contacts
a. Name
b. Phone Number
c. Email address
10. Does your organization outsource IT services?
a. If so, please list contact information for the vendor
Section 4: Systems
11. Does the organization have an electronic registration system?
a. If so, who is the vendor?
12. Does the organization have a data review application?
a. If so, who is the vendor?
b. What kind of data does the application display?
13. Does the organization have an electronic ordering application?
a. If so, who is the vendor?
b. What kinds of orders are placed electronically?
14. Does the organization have an electronic documentation application?
a. If so, who is the vendor?
b. Are patient notes documented?
i. If so, what kind of notes (nurse, care manager, etc.)?
c. Is anything other than notes documented? If so, what?
Section 5: RHIO information
DSRIP CONNECTED CBOs: Current-State HIE Readiness Assessment
15. Is the organization currently a member of any RHIO?
a. If so, which one(s)? Please list all.
i. Are you collecting patient consent?
ii. Are you using the RHIO in routine workflow?
16. If you are not a member of the RHIO, have you explored the possibility?
1 Primary Care Information Project
NY State Innovation Model (APC)
NY Medicaid: DSRIP 2014 NCQA)
TCPI Background: NYS Healthcare Transformation
Value
Based
Payments
Fee for
Service
New York State is in the process of transforming the health care system from Fee For
Service Payment to Value Based Payment model. There are three types of
transformation funding available: CMS TCPI ($50M), DSRIP ($7B), and NY SIM
($100M).
Federal: CMS (TCPI)
2 Primary Care Information Project
TCPI is part of a federal strategy to strengthen the quality of care and spend health
care dollars more wisely. TCPI will accomplish this by helping clinicians achieve
health transformation in 4 years.
1. NYC funding anticipated to be about 33% of total NYS PTN funding
2. Eligible clinicians are MD, DO, PA, NP, Clinical Nurse Specialist (APRN), Social Worker (LCSW), Clinical
Psychologist (PhD, PsyD)
3. Target clinicians who see Medicare, Medicaid, and CHIP beneficiaries
TCPI: Aim Statement for NYC
Key Statistics New York
State
New York
City1
Number of Clinicians2,3 11,293 2,800
Total projected savings $179M $44M
Savings from redundant testing $11M $2M
Savings from avoidable 30 day
readmissions
$168M $42M
3 Primary Care Information Project
TPCI vs. DSRIP PCMH vs. NYS SIM APC
The practice intervention curriculum across DSRIP, TCPI and SIM Advanced Primary
Care models are similar and there is an opportunity to align programs.
Category DSRIP PCMH TCPI SIM APC
NYS Funding $6,400M $50M $100M
Implementation Start Date April 2015 October 2015 November 2016
NYC residents impacted 2,900,000 2,800,000 TBD
Practice Transformation Support
Clinical Outcome Measures
Cost Savings Expected
Certification Model NCQA PCMH CMS TCPI NYS SIM APC
Exclusions Non-Medicaid ACOs TBD
Payer focus Medicaid Medicaid,
Medicare, CHIP
All Payers
4 Primary Care Information Project
TCPI: Value to Clinicians
The TCPI program will help clinicians prepare for healthcare payment reform,
improve patient outcomes, costs and patient satisfaction, improve financials, and
improve health equity.
Improve financials
Prepare for Payment Reform
Free Practice Transformation
Services
Improve Outcome, Cost, &
Satisfaction
Improve health equity