NYP/Q PPS PAC Meeting NYP/Q PPS June 23, 2016

Agenda Welcome DSRIP Updates Key upcoming dates Midpoint Assessment Patient Engagement and Update of Partner Form Scorecard and Dashboard Available in MAPP Medical Record Review CRFP Funding Update Value Based Payments (VBP) Roadmap PPS Updates DY1, Q 4 Remediation Plan Submission Communication Plan Training Strategy IT Security Next Steps Questions Adjourn NYP/Q PPS PAC Meeting

NYP/Q PPS PAC Meeting DSRIP Updates NYP/Q PPS PAC Meeting

Key Upcoming Dates for DSRIP 6/21: DOH All PPS Meeting 6/23: Executive Committee 6/30: End of DY2, Q1 June 7/1: DY2, Q2 Begins 7/7: PCMH Transformation Kickoff Meeting 7/21: Executive Committee 7/31: DY2, Q1 Quarterly Report Due July 8/1: Medical Record Review Begins 8/31: Primary Care Plan Project Narrative Due 8/31: Independent Assessor Initiates Midpoint Assessment Fall 2016: DOH Learning Symposium August/later Fall NYP/Q PPS PAC Meeting

DSRIP Updates Midpoint Assessment Midpoint Assessment will be initiated after August 31, 2016 The Mid-Point Assessment is a required component of the DSRIP Program   The Mid-Point Assessment will focus on the progress made by the NYP/Queens PPS through the end of the first quarter of DY2 towards establishing the necessary organizational foundation and towards the implementation of the project requirements consistent with the approved DSRIP Project Plan. The primary data sources used in the Mid-Point Assessment will be: Approved DSRIP Project Plan Applications Quarterly Report Submissions - DY1, Q1 through DY2, Q1 Claims and non-claims data for P4R/P4P measures 360 review with partners- DOH NYPQ PPS PAC Meeting

DSRIP Updates Patient Engagement and Update of Partner Form After reporting DY1 Q4 data to the NYSDOH, the NYP/Q PPS has received feedback from the IA that the documentation submitted by NYP/Q PPS contained Medicaid identification numbers which also appeared in the documentation submitted by multiple PPS. The NYP/Q PPS’ approach to resolving this duplication issue was to reach out to other PPSs and initiate a discussion to compare the rendering provider and their NPI for each identical patient shared. Solution: To decrease the likelihood of this reoccurring in future reporting, we plan to include the provider and NPI fields in our reporting templates or the partner form that are sent out to the sites every month Patient Engagement Data Reporting: It is very important to understand that same patient can not be reported as actively engaged patient from month to month for same project or measure NYPQ PPS PAC Meeting

DSRIP Updates Scorecard/Dashboard Available MY 1 (Jul1, 2015-June 30, 2015) Project specific Performance Scorecard/Dashboard available now in MAPP Claims data Lagged data by 1 year Drill down tool in MAPP by provider, MCO, etc. Metrics quality drive the dollar value NYPQ PPS PAC Meeting

DSRIP Updates Medical Record Review Between Aug 2016 and Feb 2017, the PMO team will work with the medical record collection team or the vendor abstraction services provided to us Locate and abstract data on randomly selected sample of patients to populate the measures we selected for DSRIP project After the kickoff meeting between vendor and PMO team by July 31, the abstraction partner or vendor will work directly with the providers to perform the sample pull and record reviews NYPQ PPS PAC Meeting

DSRIP Updates CRFP Funding Update CRFP Funding Awards were announced March 2016 NYP/Q PPS submitted 17 applications for capital ranging from IT to co-location construction costs Brightpoint was the only application that received funding for co-location construction costs A list of all CRFP awards is available: https://www.gnyha.org/PressRoom/Publication/4820d0b2-04b4-4b49-9ddf-92428658d1eb/ NYPQ PPS PAC Meeting

DSRIP Updates Value Based Payment (VBP) Value-Based Payment (VBP) is a strategy used by managed care organizations to promote quality and value of health care services The goal of any VBP program is to shift from pure volume-based payment, as exemplified by fee-for-service payments to payments that are more closely related to outcomes 5 themes for Value Based Payments: Value over Volume Stronger Together than Apart Reducing Avoidable Complications & Hospital Use Reinvesting into the system Making healthcare sustainable New York State Medicaid Director, Jason Helgerson, discussed five themes specific to New York State’s Medicaid Value Based Payment reform https://www.youtube.com/watch?v=WHIuV_LWcIg&_sm_au_=iVVZR7SkPMsTWN8S VBP baseline assessment with partners starting early Fall 2016 NYPQ PPS PAC Meeting

NYP/Q PPS PAC Meeting PPS Updates NYP/Q PPS PAC Meeting

PPS Updates DY1, Q 4 Remediation Plan Submission DY1, Q4 Remediation Plan has been successfully submitted on June 14, 2016 PPS will receive AV Scorecard for DY1, Q4 from the IA on June 30, 2016 NYP/Q PPS PAC Meeting

PPS Updates Communication Plan This Communications & Engagement Plan supports the NYP/Queens DSRIP PPS and is designed to enable effective communication and engagement of key stakeholders, network partners, patients, and workforces for effective functioning, contributing to success. This plan outlines the following plans Community & Engagement Plan Workforce Communication & Engagement Plan and Practitioner Communication & Engagement Plan and will be updated to include the Agency Coordination Plan Communication Methods: User guides, webinars, conference calls, bi- monthly committee meetings, newsletters etc. will serve as the primary channels to communicate progress and to present recommendations NYP/Q PPS PAC Meeting

PPS Updates Training Strategy Majority of the workforce funding by DSRIP goes into building and implementing an effective training strategy for staff, providers, CBOs, etc. Maximize efforts with existing programs and partnering CBOs A Survey will be conducted to determine the training capacity and training needs of each collaborator Collaborators will be encouraged to pursue their usual training procedures and abide by the Guiding Principles Collaborators lacking training resources will be invited to participate in quarterly training seminars hosted by the NYP PPS PMO and the Cultural Competence/Health Literacy Committee which will be live, half day events, accessible on-line; or they may participate in external trainings conducted by GNYHA or other institutions NYP/Q PPS PAC Meeting

PPS Updates Training Strategy The NYP/Queens PMO will track the progress of Trainings across the PPS Pre-post evaluations will be conducted before and after each training and will be reported to the NYP PMO which will track progress in the Learning System and will report as indicated to NYSDOH DSRIP Healthstreams- Web-based training tool will be available to partners Training Competency Tracking NYP/Q PPS PAC Meeting

PPS Updates Training Strategy, cont’d High level overview of the training that will be provided to meet Organizational project requirements and 9 DSRIP project milestones NYP/Q PPS PAC Meeting

PPS Updates Training Strategy, cont’d NYP/Q PPS PAC Meeting

PPS Updates Training Strategy, cont’d NYP/Q PPS PAC Meeting

PPS Updates Training Strategy, cont’d NYP/Q PPS PAC Meeting

PPS Updates IT Security Proposed Data Security Confidentiality Plan and Standards Administrative Safeguards Security Awareness Management and Training Security responsibility Data Recovery Incident Reporting Physical Safeguards Facility Access Controls Workstation Use Device and Media Controls Technical Safeguards Access Controls Automatic Logoff Encryption and Decryption Audit Controls NYP/Q PPS PAC Meeting

NYP/Q PPS PAC Meeting Next Steps NYP/Q PPS PAC Meeting

Next Steps DY2, Q2 Focus Focus on Project Metrics and intervention strategies for improvement Adopt best practices from high performing partners and providers Quarterly Reports Submit DY2, Q1 report and midpoint assessment narratives - July 2016 Work with partners for Medical Record Review Submit the Primary Care Plan Project Narrative Midpoint Assessment NYP/Q PPS PAC Meeting

NYP/Q PPS PAC Meeting Questions? NYP/Q PPS PAC Meeting