mhvc paop january 2016 rev 1 · 2016. 1. 21. · (mh treatment) god’s love we deliver (community...

January 21, 2016

New York City

PAOP Presentation

Governance Structure

© Bronx Health Access 1

Bronx Lebanon Hospital Center

PPS Lead Entity

BHA PPS LLCGovernance Board

Committees

PMO

Cross-Functional Workgroups

Project Workgroups

Bronx Health Access PPS LLC




5 BLHC Members




5 BLHC MembersUrban Health

(FQHC)

Comunilife

(CBO)

VNSNY

(Home/Community HC)

Dominican Sisters

(Home/Community HC)

Hudson Heights IPA

(Physicians)

SEIU/1199

(Union)

Mt Sinai Hospital

(Hospital)




PPS Lead Entity


ComplianceCommittee

PMO

WorkforceCommittee

StakeholderCommittee

Clinical Quality &PDI Committee

FinanceCommittee

ITCommittee

PAC




PPS Lead Entity


PMO

Care CoordinationCross-Functional

PCMHCross-Functional

Cultural CompetencyCross-Functional

ComplianceCommittee

WorkforceCommittee



FinanceCommittee

ITCommittee

PAC




PPS Lead Entity


PMO

Care CoordinationCross-Functional

PCMHCross-Functional

2.b.i - Ambulatory ICU 3.a.i – Behavioral Hlth2.b.iv – Care Transition2.a.i - IDS 2.a.iii - HHAR

3.f.i – Maternal & Child 4.c.ii – HIV Care4.a.iii - MHSA3.c.i – Disease Mgmt 3.d.ii - Asthma

ComplianceCommittee

WorkforceCommittee



FinanceCommittee

ITCommittee


PAC


Funds Flow

• Project Funding

– Budget expenditure to meet milestones

• Approvals by project committee, Finance and Board

• Approximately $4.4M budgeted for DY1

• Developed Performance Funds Flow

– Worked closely with KPMG

– Allocate Percent of “Importance” to Provider Type

• Project Level

• Input from project teams

• Input from partners

• Project Funding

– Budget expenditure to meet milestones

• Approvals by project committee, Finance and Board

• Approximately $4.4M budgeted for DY1

• Developed Performance Funds Flow

– Worked closely with an independent consulting firm

– Allocate Percentages to Provider Type

• Project Level

• Input from project teams

• Input from partners


Funds Flow

BHA Involved in Many Collaborations


Collaboration

Across Committees, Workgroups and Projects

• Collaboration across Committees, Workgroups and Projects

- Steering Board- Workforce Committee- Cultural Competency and Health Literacy Workgroup- All 10 projects

• Cross-PPS Collaboration

- HIV Coalition- Mental Health Substance Abuse Infrastructure- Consent Form- EIP Contracting

• Non-PPS and Inter-Agency Collaboration

- NYC Dept of Mental Health and Hygiene- NYC Dept of Education- BronxRHIO



Collaboration

4.a.iii - MHSA



Collaboration

4.a.iii - MHSA

Maimonides (Brooklyn)

Health & Hospitals (multi-borough)

St. Barnabas(Bronx)

Bronx-Lebanon(Bronx)



Collaboration

4.a.iii - MHSA



St. Barnabas(Bronx)


NYC Dept of Health and Hygiene

NYC Dept of Education



Collaboration

4.a.iii - MHSA



St. Barnabas(Bronx)




Jewish Board of Family & Children’s Services

NYAM



Collaboration

4.a.iii - MHSA



St. Barnabas(Bronx)




Jewish Board of Family & Children’s Services

Strengthen infrastructure used to promote Mental,

Emotional and Behavioral health.

NYAM



Collaboration

4.c.ii – HIV Care



Collaboration

4.a.iii - MHSA 4.c.ii – HIV Care



Collaboration

4.c.ii – HIV Care

Mt Sinai Hospital(Manhattan)

Health & Hospitals (Multi-borough)

St. Barnabas(Bronx)


NYU Lutheran(Brooklyn)

Maimonides(Brooklyn)

NY Hospital Queens(Queens)

Montefiore(Westchester)




Collaboration

4.c.ii – HIV Care



St. Barnabas(Bronx)






Reduce Barriers to Access and Retention of

HIV Care




Collaboration

4.c.ii – HIV Care



St. Barnabas(Bronx)







HIV Care

Recent AccomplishmentsNYC Dept of Health and Hygiene



Collaboration

4.c.ii – HIV Care



St. Barnabas(Bronx)







HIV Care

Launched Peer Intervention Pilot

Program

Approved HIV Coalition Bylaws




Collaboration

4.a.iii - MHSA 4.c.ii – HIV Care 2.a.i – IDS



Collaboration

ACP(City-wide)

NYC Health & Hospitals (Bronx)

St. Barnabas(Bronx)


2.a.i – IDS



Collaboration

ACP(City-wide)


St. Barnabas(Bronx)


Consent FormIndividual vs Community

2.a.i – IDS



Collaboration

ACP(City-wide)


St. Barnabas(Bronx)


Bronx RHIOConsent Form

Individual vs Community

2.a.i – IDS



Collaboration

4.a.iii - MHSA 4.c.ii – HIV Care 2.a.i – IDS EIP Contracting



Collaboration


Mt. Sinai Hospital (Manhattan)

St. Barnabas(Bronx)



EIP Contracting



Collaboration



St. Barnabas(Bronx)



Operational Workgroup

Legal

Workgroup

EIP Contracting



Collaboration



St. Barnabas(Bronx)




Legal

Workgroup

EIP Contracting



Collaboration



St. Barnabas(Bronx)




Legal

Workgroup

MCOs EIP Contract Signed and Executed

EIP Contracting


CBOs Involvement



CBOs Involvement


Community Health Care Network

(FQHC)

Health literacy training

Cross-Functional Workgroup touches all 10 projects


CBOs Involvement



(FQHC)

Boom! Health

(CBO)Evidence-based interventions




CBOs Involvement



(FQHC)

Boom! Health

(CBO)

Strive

(Vocational Services)

Evidence-based interventions


Training andemployment





CBOs Involvement

2.a.iii - HHAR

NADAP

(Vocational Svs)

Health People

(Community Support)




CBOs Involvement

2.a.iii - HHAR

NADAP

(Vocational Svs)

Health People

(Community Support)

2.b.i – Ambulatory ICU

CASES

(MH Services)

EAC

(MH Treatment)


CBOs Involvement



2.a.iii - HHAR 2.b.iv – Care Transition

JASA

(Home/Comm Care)

NADAP

(Vocational Svs)

NADAP

(Vocational Svs)

God’s Love We Deliver

(Community Support)

Health People

(Community Support)


CASES

(MH Services)

EAC

(MH Treatment)


CBOs Involvement



2.a.iii - HHAR 2.b.iv – Care Transition 3.a.i – Behavioral Hlth

JASA

(Home/Comm Care)

NADAP

(Vocational Svs)

Unique People Services

(Care Coordination)

St. Christopher’s Inn

(Health Care Svs)

Catholic Charities

(Residential Svs)

Comunilife

(CBO)

Salvation Army

(Comm Support)

Three Graces Medical

(Med Group)

JASA

(Home/Comm Care)

NADAP

(Vocational Svs)


(Community Support)

Health People

(Community Support)


CASES

(MH Services)

EAC

(MH Treatment)


CBOs Involvement



2.a.iii - HHAR 2.b.iv – Care Transition 3.a.i – Behavioral Hlth 3.c.i – Disease Mgmt

JASA

(Home/Comm Care)

NADAP

(Vocational Svs)


(Care Coordination)


(Health Care Svs)

Catholic Charities

(Residential Svs)

Comunilife

(CBO)

Salvation Army

(Comm Support)


(Med Group)

JASA

(Home/Comm Care)

Health People

(Comm Support)

EAC

(MH Treatment)


(Community Support)

NADAP

(Vocational Svs)


(Community Support)

Health People

(Community Support)


CASES

(MH Services)

EAC

(MH Treatment)


CBOs Involvement



2.a.iii - HHAR 2.b.iv – Care Transition 3.a.i – Behavioral Hlth 3.c.i – Disease Mgmt 3.d.ii - Asthma

Bronx Works

(Settlement House)

EAC

(MH Treatment)

Pioneer Home Care

(Home Care)

JASA

(Home/Comm Care)

NADAP

(Vocational Svs)


(Care Coordination)


(Health Care Svs)

Catholic Charities

(Residential Svs)

Comunilife

(CBO)

Salvation Army

(Comm Support)


(Med Group)

JASA

(Home/Comm Care)

Health People

(Comm Support)

EAC

(MH Treatment)


(Community Support)

NADAP

(Vocational Svs)


(Community Support)

Health People

(Community Support)


CASES

(MH Services)

EAC

(MH Treatment)


CBOs Involvement

2.a.iii - HHAR 2.b.iv – Care Transition 3.a.i – Behavioral Hlth 3.c.i – Disease Mgmt 3.d.ii - Asthma 3.f.i – Maternal & Child

Pioneer Home Care

(Home Care)

SKIP of New York

(Disabled Children Care)



Bronx Works

(Settlement House)

EAC

(MH Treatment)

Pioneer Home Care

(Home Care)

JASA

(Home/Comm Care)

NADAP

(Vocational Svs)


(Care Coordination)


(Health Care Svs)

Catholic Charities

(Residential Svs)

Comunilife

(CBO)

Salvation Army

(Comm Support)


(Med Group)

JASA

(Home/Comm Care)

Health People

(Comm Support)

EAC

(MH Treatment)


(Community Support)

NADAP

(Vocational Svs)


(Community Support)

Health People

(Community Support)


CASES

(MH Services)

EAC

(MH Treatment)

Preparing for Workforce Future State


■ Identify training needs and gaps

■ Assess workforce skill development needs for clinical staff redeploying

■ Survey partners to identify and leverage training resources

■ Analyze PPS infrastructure changes to develop Leadership & HIT Training Programs

Future State Training

■ Leverage current & new curriculum to enhance workforce skills

■ Evaluate new skills and credentials needed to support advanced Information Technology

■ Focus on diversity in recruitment strategies

Assessing Skill

Development Needs

■ Evaluate Partner & Practitioner Engagement needs

■ Project workgroups design standards of care by project

■ Focus on Partner understanding, awareness, and buy-in of the DSRIP transformation

■ Developing Employee Engagement Plans that help align partners and facilitate adoption of the changes

■ Partners will be involved in designing project workflows & workforce competencies needed for the Six HEDIS® Hybrid Measures

■ Evidence-based Guidelines and Processes are being integrated into the standards of care for each project

■ Target training and development programs in alignment with both specific job category needs and DSRIP business imperatives

Linking Training to

PerformancePartner Engagement

and Input

Care Coordination Functional Workgroup


Care Coordination

Cross-Functional

Workgroup

2.a.i

2.a.iii

2.b.i

2.b.iv

3.a.i

3.c.i

3.d.ii

3.f.i

4.a.ii

4.c.ii



Improve Synergy between Projects and Organizational Work Streams

All 10 Projects Must Structure and Deploy Care Coordination Services

The Care Coordination Cross-Functional Workgroup Responsible for Developing Care Coordination Standards and Protocols



Improve Synergy between Projects and Organizational Work Streams

All 10 Projects Must Structure and Deploy Care Coordination Services

The Care Coordination Cross-Functional Workgroup Responsible for Developing Care Coordination Standards and Protocols

Four-Step Process



PatientEncounter



Process Patient



Assignment and Alert



Care Coordination



2.b.ivCare Transitions


2biv Care Transitions

Clearinghouse

Admitted Patient

Clearinghouse Functionality

- Risk Stratification- Continuity by Provider/Care Management Agency- Clinical Integration of Psychosocial Drivers of Health

Primary CareCare CoordinationEnabling Services Specialty Care


2biv Care Transitions

Clearinghouse

Ambulatory Patient

Clearinghouse Functionality

- RHIO Data- Outcomes Driven- 7-Day appointments- HEDIS Measures- Engagement Metrics

Primary CareCare CoordinationEnabling Services Specialty Care

PMO Staff


PMO

KathyAlexis

KathleenCraig

DuaneGranston

SteveMaggio

GaryRosario

VirgilinaGonzalez

Dr. IsaacDapkins

JessicaColon

Bronx-Lebanon Hospital Center PPS, LLC

mhvc paop january 2016 rev 1 · 2016. 1. 21. · (mh treatment) god’s love we deliver (community...

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