Albany Medical Center Hospital PAC MEETING - 15 Delivery System Reform Incentive Payment Program October 28, 2015

Agenda Welcome PPS Updates Committee Updates Survey Accenture (TDMC) Clinical & Quality Assurance, Finance, Audit/Compliance, Workforce, Consumer and Community Affairs, Cultural Competency & Health Literacy Survey Accenture (TDMC) Community Engagement

PMO/PPS Updates Projects are ramping up DST Sub committees Baseline data Staging DST Continue to foster collaborative opportunities TOM 2.0 – examining CBO engagement and IT

Updates - continued CRFP – awaiting award announcements Funds flow & Budgeting – Subcommittee formed and meeting Chart Review – Ongoing – please let us know if you are contacted by the contractor Opt out letters have begun to arrive in mailboxes DOH released revised reporting guidance still in draft on 10/16/15 for reporting due 10/31/15 for the period ending 9/30/15

Our website is up and running… www.albanymedpps.org

MRT Innovation eXchange (The Mix) www.ny-mix.org

Reopening of PPS Provider Network “…DOH will be reopening the MAPP provider network tool so that PPS can add partners to their networks for performance purposes. The network reopening period began on 10/23 and will close on 11/20 at 4 pm. PPS will be able to add new providers, but will NOT be able to delete providers that are already in network.

Clinical and Quality Affairs Committee (CQAC) Update: Project Implementation Project sub-committee list Participation Areas of focus: Care Coordination/Care Management Model Support for PCMH Model of Care ED Care At-Risk and related projects Operationalize utilization of PAM® tool Reopening of Provider Network: 28-Day window

CQAC - Project sub-committee List Patient Centered Medical Home Projects: Create Integrated Delivery Systems & others EHR Implementation/Optimization Care Coordination/Care Management Projects: Multiple projects Health Home At-Risk Intervention Program Project: Health Home At-Risk Intervention Program ED Care Triage Project: ED Care Triage for At-Risk Populations

CQAC - Project sub-committee List Integration of Primary Care and Behavioral Health Services Project: Integration of primary care and behavioral health services Behavioral Health Community Crisis Stabilization Project: Behavioral Health Community Crisis Stabilization Services Cardiovascular Disease Project: Evidence-based strategies for disease management in high risk/affected populations (adult only) Asthma Evidence-Based Guidelines, – including Telemedicine Project: Implementation of evidence-based medicine guidelines for asthma management

Finance Committee Last meeting on 10/26/2015 Contract process Discussed difficulty creating a formulaic approach to distribute funds to partners Created a Subcommittee to devise a method that fairly distributes funds to partners Will be approved at Finance Committee, PAC Exec, and PPS Board

Finance Committee Finance activities in development: Finalization of funds flow analysis Annual operating budgets Survey results analysis Assess financial standing of partners Benchmarks identified Status of Value-Based Payment contracts in the PPS Capital Funding – still unknown Next Meeting on 11/30/2015

Audit and Compliance The Audit and Compliance Committee will be meeting in November to begin planning a CP and CoC training strategy. The committee will be utilizing the survey data results to guide the training strategy.

Audit and Compliance Two items in development: Fraud Waste and Abuse Policy Conflict of Interest Policy The Committee will be developing these policies in November for December approval

Workforce Coordinating Council (WCC) The NYSDOH has pushed back all workforce milestone deadlines to DY1Q4 (March 2016). Currently working on finding a workforce vendor to assist the PMO with the creation of a training strategy. Created an RFI for any vendors interested in assisting the PMO with the implementation of training strategies. Once the RFI is approved by WCC members, it will be sent out to interested vendors. Created and disseminated a Workforce Readiness Assessment survey to our participating partners. Once completed we will assess the current and future workforce state of all of our AMCH PPS partners.

Workforce Coordinating Council (WCC) Next meeting will be held on Thursday, October 29th, from 2-3pm Agenda items include: Review and approve workforce strategy implementation plan Review and approve RFI for training services WCC updates

Consumer & Community Affairs Committee (CCAC) 6 CCAC meetings have been held Upcoming community forum Continue to engage partners and receive input from members regarding effective consumer and community engagement Highlighting community events to engage consumers and inform them about DSRIP and it’s purpose

YOU’RE INVITED! What: DSRIP Public Forum When: Wednesday November 18, 6-8pm Where: Albany Medical Center ME-100 Who: Open to the public We will be offering free parking and light refreshments

Cultural Competency and Health Literacy Milestone - Finalize a cultural competency /health literacy strategy signed off by the PPS board that will: Identify priority groups experiencing health disparities Identify key factors to improve access to quality primary, behavioral health, and preventive health care Define plans for two-way communication with the population and community groups through specific community forums Identify assessments and tools to assist patients with self-management of conditions (considering cultural, linguistic and literacy factors) Identify community-based interventions to reduce health disparities and improve outcomes. Final draft to be reviewed and approved Dec 1st by the CCHLC

Survey – why was it needed? What will it do? Survey Review - Baseline assessment Current infrastructure, capacity and capability Initial identification of project participation by providers Various work stream and achievement value metrics Gap analysis and readiness for project implementation

Survey – What is next? Analysis Permission to share In order to facilitate transparency in funds flow we need your permission to share the data within the PPS among relevant committees. Only data from the survey Will reach out to respondents individually

Preliminary Survey Data 180 surveys distributed as of 9/30/15: 49 surveys completed by 10/27 34 surveys started but not yet submitted 97 surveys not started Wealth of useful information being analyzed. Substantial interest / commitment to engage in various projects.

Preliminary Survey Data (continued)

Questions You may also e-mail George Clifford cliffog@mail.amc.edu Dr. Kallanna Manjunath manjunathk@mail.amc.edu Or Evan Brooksby brookse1@mail.amc.edu

YOU ARE INVITED D S R I P U B L C F O M Albany Medical College ME-100 43 New Scotland Avenue, Albany NY 12208 6-8pm Free Parking & Light Refreshments Wednesday November 18th 2015 D S R I P U B L C F O M Visit us at www.albanymedpps.org Email: dsrip@mail.amc.edu