AMCH PPS PAC Meeting December 16, 2015 Lean Manufacturing 101 5/21/98 AMCH PPS PAC Meeting December 16, 2015 ©1998 NIST/MEP Version 1

Agenda Committee Reports PMO & DOH Updates Audit & Compliance Finance Consumer & Community Affairs Workforce Coordinating Council Cultural Competency & Health Literacy Clinical & Quality Affairs Technology & Data Management PMO & DOH Updates

Agenda Speed & Scale Dashboard Participating Provider Agreements Projects

Audit and Compliance Deliverable due 12/31/15 Milestone: Finalize Compliance Plan consistent with NYS Social Service Law 363-d  Step 1: AMCH PPS Audit and Compliance Committee in collaboration with the PPS Compliance Officer and legal council, will develop a Code of Conduct and Compliance Plan that encompasses the required compliance elements set forth in NYS Social Service Law 363-d as applied to the PPS.  Step 2: AMCH PPS Audit and Compliance Committee will present the CoC and CP to the PPS Board for review and approval.  Step 3: PPS Board reviews and adopts the CoC and CP: the AMCH Board of Governors reviews and adopts the CoC and CP. The Board approved CoC and CP are disseminated to the PAC.  Step 4: PMO staff in collaboration with the Workforce Collaborating Council will develop a CP and CoC training strategy for the PPS. Step 5: AMCH PPS continues implementation operation of the Compliance Program. AMCH PPS Executive Director completes OMIG’s required certification for Compliance Program. (In Progress)

Audit and Compliance Compliance Training Next ACC meeting is 1/7/16 Policy development

Finance Last Meeting 11/30/2015 Next Meeting 1/4/2016 Budget by Project – Approved 2016 PPS Operating Budget – Approved Quarterly Report – Financial Impact December 2015 Deliverables Survey Data Value- Based Purchasing – Will be approved electronically Financial Assessment - Will be approved electronically Financially Distressed Participating Provider Policy - Will be approved electronically Next Meeting 1/4/2016

Consumer & Community Affairs 12/31/2015 Milestone due: Finalize partnership agreements or contracts with CBOs Under the direction of the CCAC, develop partnership agreements with key CBOs in strategic locations throughout the 5 county service area. Under the direction of the CCAC, continue targeted outreach to strategic CBO partners to encourage active engagement and participation in the committees of the PAC.

Consumer & Community Affairs Regional Meetings to start 2/9/16 in Hudson New faces welcome! Will use this to pilot a 2 hour meeting block which will include a “DSRIP 101” presentation and discussion Looking to gain further insight into how the Regional Meetings are approached At a minimum, the PPS will schedule quarterly meetings that will involve the community  Rotating basis across PPS region Will include public forums or community focus groups to engage consumers and other community stakeholders

Workforce Coordinating Council Currently in the process of reviewing potential training vendor proposals. “Develop Training Strategy” milestone was pushed back by DOH to September 2016. With the assistance of clinical experts, PMO office has begun evaluating training needs by project. Working with PMO clinical team to also review proposals and ensure that vendors can meet all of our training needs. The next WCC meeting will be held on this Friday, December 18th from 9:00am-10am.

Workforce Coordinating Council   Revised Milestone Deadline Milestone Deliverables DY1 Q4 (March 2016) PPSs are required to submit baseline* for Strategy Spending (budget) PPSs are required to submit DY1 Q4 actuals for Strategy Spending (budget) DY2 Q1 (June 2016) PPSs submit baseline for Staff Impact Analysis Complete Prescribed Milestones: Milestone 1: Target Workforce State Milestone 4: Compensation and Benefits Analysis DY2 Q2 (September 2016) Staff Impact change from baseline will be reported for the first time in DY2 Q2 Milestone 2: Workforce Transition Roadmap Milestone 3: Gap Analysis Milestone 5: Training Strategy

Cultural Competency and Health Literacy Committee (CCHLC) Milestone 1: Finalize cultural competency/ health literacy strategy. Reviewed and approved by the committee members on 12/1/15, reviewed and endorsed by the CCAC co-chairs on 12/7/15 Waiting for approval by the AMCH PPS Board and PAC Exec Request for CC Champion nomination Please identify an individual in your organization by 12/31.

Clinical & Quality Affairs Committee (CQAC) Work stream deliverables due 12/31/2015 Practitioner Engagement: Develop training / education plan targeting practitioners and other professional groups, designed to educate them about the DSRIP program and your PPS-specific quality improvement agenda. Deliverables due 3/31/2016 Develop Practitioners communication and engagement plan.

Clinical & Quality Affairs Committee (CQAC) Deliverable due 12/31/2015 Clinical Integration: Perform a clinical integration needs assessment. Accenture Update: ED/PAM projects Meeting held on December 7, 2015 with ED medical directors/leadership in Care Management from Albany, Columbia, and Saratoga hospitals. ED project update (Mingie Kang) PAM update (Tara Foster)

Clinical & Quality Affairs Committee (CQAC) PAM® Project Overview: Review of Organizational and Project Components Actively engaged definition, Speed & Scale Performance Metrics Patient Activation Measure® (PAM®) What is Activation and Why it’s Important Overview of (PAM®) Coaching for Activation® (CfA®) Health Coaching by Level of Activation Proposed AMCH PPS PAM/CfA implementation process

Clinical & Quality Affairs Committee (CQAC) Patient Centered Medical Home (PCMH) Internally analyzing survey data and determining next steps based on information. Asthma Subcommittee: Dr. Dick will be leading committee – First meeting in January AMC is working collaboratively with the Alliance for Better Health on the Asthma project to ensure that efforts are aligned. There will be representation from both PPS’s on the project subcommittees. Committee membership still open.

Technology and Data Management (TDMC) Milestone Completion 12/31/15 IT Current State Assessment Completed by Accenture Accenture lead RFI Vendor selection process for IT solutions Remediation DY1Q2 SSP Workbooks reviewed and requiring additional documentation. Resubmitted on 12/15/15

Technology and Data Management (TDMC) Next Steps: EHR Subcommittee reviewed and approved. Initial deliverables may be owned by the TDMC to keep key stakeholders aligned with deliverables NYSDOH Data Roster to be destroyed Based on new DOH regulation, our current data roster will be deleted and an attestation will be submitted to the State by 12/18/15 New data to be provided to each PPS in late January. Data will no longer include “partial Medicaid”

PMO Updates: DY1Q2 Speed and Scale Dashboard Project Organization Responding DY1Q2 - Goal - 80% DY1Q2 - Actual Count DY1Q2 - % of Goal DY1Q3 - Goal - 80% 2.a.iii   6,018 4,798 79.73% 4,871 Albany Medical Center 145 Columbia Memorial Hospital 58 Saratoga Hospital 4595 2.b.iii 404 2,378 588.61% 288 1,160 895 323 2.d.i 5,490 - 0.00% 6,863 3.a.i 1,872 4,685 250.27% 936 3,888 327 470 3.a.ii 1,268 794 62.62% 171 194 Albany County Mental Health 429 Columbia-Greene County Mental Health 3.b.i 2,297 1,612 70.18% 1,122 276 558 Whitney Young 349 3.d.iii 1,552 344 22.16% 1,881 33 152 159

Participating Provider Agreements Three Part Contracting Structure Participating Provider Agreement Base contract, durable for length of DSRIP Standard for all providers No funds flow connected Business Associate Agreement (BAA) Allows for the exchange of PHI between providers and PPS Addenda Define funds flow

Participating Provider Agreements Addenda All addenda are executed annually Engagement addendum Defines Domain 1 participation Standard based on provider type and size Establishes a base funds flow Project specific addenda Specific to project Defines deliverables Establishes project specific funds flow

Projects Underway 2.d.i – Patient Activation Measure (PAM®) 2.b.iii Conducting training in all three hubs Additional training scheduled Next steps Coaching for Activation 2.b.iii ED Care Triage subcommittee has met Incorporating parts of 2.d.i Implementation varies by location

Projects Staged Other projects are staging for roll out in early 2016 Capital Funding decisions are holding some projects back

Other Updates Newco not yet submitted; name being selected Dr. F. Venditti resigned as co-chair of PAC Leadership; he will remain on the committee, replaced by Courtney Burke Going forward, documents requiring review and/or approval will be generally handled through a poll and electronic vote