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

2. 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

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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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:
NYPQ PPS PAC Meeting

10. 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
VBP baseline assessment with partners starting early Fall 2016
NYPQ PPS PAC Meeting

11. NYP/Q PPS PAC Meeting
PPS Updates
NYP/Q PPS PAC Meeting

12. 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

13. 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

14. 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

15. 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

16. 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

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

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

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

20. 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

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

22. 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

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