dsrip meeting agenda - nyp.org · dsrip meeting agenda page 1 date and time 11/17 /15 , ... sofia...

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


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

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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



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.




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.

IT Data Governance Committee Meeting November 17, 2015

1

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


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


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)

TODAY

TODAY

TODAY

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?


b. What kind of data does the application display?

13. Does the organization have an electronic ordering application?


b. What kinds of orders are placed electronically?

14. Does the organization have an electronic documentation application?


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)


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


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


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


Appendix: TCPI Phases of Transformation


Appendix: Impact of TCPI Practice Transformation Activities

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