1. Clinical Project Meeting NYHQ PPS Delivery System Reform Incentive Payment (DSRIP) PROJECT REQUIREMENT DEVELOPMENT HIV (4cii)

2. Agenda 2 Welcome & IntroductionsPurpose of MeetingPPS UpdatesReview TimelineReview Action ItemsProject Requirement Step DevelopmentNext Steps / Next MeetingQuestions / Open Discussion

3. 3 PPS Updates NYS DSRIP Updates PPS DSRIP Updates

4. 4 Timeline June 15 – June 19 Clinical Development Meeting Develop PIP Requirements June 22 – June 26 Clinical Development Meeting Develop PIP Requirements June 19 – July 3 No Meetings July 6 – July 10 Clinical Development Meeting Develop PIP Requirements July 13 - 17 Meeting: Finalize Draft PIP July 20 – 24 Present PIP(s) to Clinical Integration Committee July 27 – July 31 PMO input PIP into MAPP July 31st PIP’s Due

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6. 6 DSRIP Project Review: Meeting #1 Project Requirement Development (PIP) Design all HIV interventions to address at least two co-factors that drive the virus, such as homelessness, substance use, history of incarceration, and mental health. Increase peer-led interventions around HIV care navigation, testing, and other services.Decrease HIV and STD morbidity and disparities; increase early access to and retention in HIV care.Promote interventions directed at high-risk individual patient, such as therapy for depression.

7. 7 DSRIP Project Review: Meeting #2 Project Requirement Development (PIP) Launch educational campaigns to improve health literacy and patient participation in healthcare, especially among high-need populations, including: Hispanics, lesbian, gay, bisexual, and transgender (LGBT) groups. Assure cultural competency training for providers, including gender identity and disability issues. Empower people living with HIV/AIDS to help themselves and others around issues related to prevention and care. Promote delivery of HIV/STD Partner Services to at risk individuals and their partners.

8. 8 DSRIP Project Review: Meeting #3 PIP Risk & Mitigation A primary risk for the NYHQ PPS DSRIP project focused on HIV care is the current New York State process for HIV testing is cumbersome for providers. This includes the opt-in approach for testing, provider knowledge on HIV testing, and access to care for patients. The PPS will mitigate this risk by ensuring that all PCPs offer HIV testing, when clinically indicated, for patients and that they are well versed on the process of testing and requirements of this project. Patients with behavioral health diagnoses pose an additional risk as they tend to be more complicated to manage and ensure that testing, treatment, and necessary follow-up care are received appropriately. The HIV committee with work with the Behavioral Health committee to align strategies for engaging these patients. Additionally, the NYHQ PPS recognizes the risk to the existing workforce associated with collaboration, additional training and resources that will be required for participating in this domain. PPS providers will work collaboratively with the HIV Workgroup Charter to align protocols and procedures around the integration of HIV screening and an improved linkage system, align protocols and procedures around a viral load suppression initiative, align training, protocols, and procedures around peer support programs, work together on a patient education and/or social marketing campaign, align on protocols and procedures around an EHR tool to track patients and ensure linkage to appropriate care, and design a training curriculum and/or provide joint training to PPS providers around cultural competency and HIV patients. This best practice appreciated collaboration will be addressed in the workforce organizational component so that the NYHQ PPS can contribute correspondingly to the HIV domain charter. Finally, the lack of patient navigation poses a risk for this patient population. The PPS will work with health homes to enroll patients as appropriate and will collaborate with the workforce committee to determine the need for hiring care navigators to work with providers and patients across PPS projects.

9. 9 DSRIP Project Review: Meeting #3 PIP Review & Revisions Review Draft Project Implementation Plan Revise Draft PIP

10. Team “Homework” Distribution of Draft PIP Action Item Tracking & Clarification Next Meeting Scheduled Any additional attendees Presentations needed 10 Next Steps / Next Meeting

11. 11 Questions / Open Discussion

12. Website: www.nyhq.org/dsripppswww.nyhq.org/dsrippps Maureen Buglino, VP, Community & Emergency Medicine mabuglin@nyp.org Maria D’Urso, Administrative Director, Community Medicine mda9005@nyp.org Crystal Cheng, Data Analyst, DSRIP crc9038@nyp.org 12 PMO Resources