1. NYP/Q PPS PAC Meeting NYP/Q PPS December 3, 2015

2. Agenda 1.Welcome 2.DSRIP Updates 1.Opt Out Letters 2.Quarterly Report 3.PPS Updates 1.Clinical Governance Structure 2.CBO Agreement Plan 3.Cultural Competency & Health Literacy 4.MAX Series 4.Next Steps 5.Questions 6.Adjourn NYP/Q PPS PAC Meeting2

3. 3 DSRIP Updates

4.  Opt Out Letters -Phase I completed November 2015  Included beneficiaries eligible as of 9/25/15, HARP eligible, and claims for ambulatory sensitive conditions -Phase II will be done February-March 2016  Will include all Medicaid beneficiaries not included in Phase I (approx. 5M members)  Quarterly Reports -PPS received minimal IA feedback for Q2 report -Comprehensive update on PPS activities and accomplishments in Q3 (Oct- Dec 2015)  PPS will report on 10 milestones and 215 tasks due this quarter NYPQ PPS PAC Meeting4

5. Key Dates for DSRIP 12/04: Provider Network Closes 12/11: DOH All PPS Meeting 12/17: Executive Committee 12/31: DY1, Q3 Ends December TBD: PAOP Presentation 01/31: DY1, Q3 Report due January NYPQ PPS PAC Meeting5

6. NYP/Q PPS PAC Meeting 6 PPS Updates

7. Quarterly Report DY1, Q2  Provided updates on all milestones & tasks -Completed 2 milestones & 52 tasks  Workforce -Submitted the workforce implementation plan for approval by IA  Engaged Patients -Met the minimum 80% threshold on all projects except project 3.b.i -Cardiovascular Project (3.b.i) met 77% for actively engaged patients NYPQ PPS PAC Meeting7

8. PPS Clinical Governance Structure Clinical & Quality Integration Committee  Committee Structure -Reports to the Executive Committee -Membership includes the chairs of the clinical and IT/performance reporting committees and a RHIO representative  Committee Function -Reviews and approves clinical best practices, evidence based guidelines, and clinical recommendations from the project sub-committees -Ensures quality oversight of clinical project implementation -Responsible for partnering with IT to create strategy for clinical integration across PPS partners NYPQ PPS PAC Meeting8

9. PPS Clinical Governance Structure Clinical & Quality Integration Committee  Best Practice Approvals -2.a.ii: PCMH roadmap & preventative care screenings -2.b.vii: INTERACT tools -3.a.i: Co-location sites & preventative care/behavioral health screenings -3.b.i: Hypertension & lipid screening NYPQ PPS PAC Meeting9

10. PPS Governance CBO Contracting Plan  The PPS will contract with identified CBOs to aid in the execution of DSRIP deliverables -Contracts will be executed in December 2015 NYPQ PPS PAC Meeting10 Community Based Organization DSRIP Goal Queens Coordinated Care Partners Work with this Health Home to establish bottom up health home referrals and thus increase utilization of health home services Elmcor Youth and Adult Activities, Inc. Work with this OASAS provider to establish best practices for “warm transfer” for referrals to substance abuse facilities Asthma Coalition of Queens - American Lung Association of the Northeast Work with the CBO to educate the pediatric providers on best practices for home assessments for asthma

11. PPS Cultural Competency & Health Literacy Strategy  Key Concepts of the PPS strategy on CCHL: -Identify key priority groups -Identify key priority groups experiencing health disparities through a community needs assessment -Identify factors to improve access to quality primary, behavioral, and preventive care -Survey partners on their cultural competency and health literacy needs -Enhance communication with the attributed population -Deploy assessments/tools to assist patients with self-management -Improve provider and community-based organization’s cultural competency -Leverage community-based interventions to reduce health disparities and improve outcomes -Ensure sensitivity to patient preferences on provider/interpreter gender NYPQ PPS PAC Meeting11

12. DOH MAX Series Integration of Primary Care & Behavioral Health  MAX is a learning collaborative incorporating evidence-based methodologies to maximize efficiency in clinical processes and implement sustainable change  Brightpoint Health is participating  Participating in the MAX will help the PPS to: -Complete project requirements/milestones for 3.a.i -Earn potential high performance funds -Qualify for EIP/EPP payments NYPQ PPS PAC Meeting12

13. NYP/Q PPS PAC Meeting TDSRIP PAC Meeting13 Next Steps

14.  Project roll-out with PPS partners  Ensure completion of all Q3 deliverables  Quarterly Reports -Complete DY1, Q2 feedback upon receipt- December 2015 -Submit DY1, Q3 Report- January 2016  Plan for Q4 Deliverables NYP/Q PPS PAC Meeting14

15. NYP/Q PPS PAC Meeting NYPQ PPS PAC Meeting15 Questions?