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

2. 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

3. 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

4. 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

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

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

7. 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.

8. 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

9. 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

10. 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

14. 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

16. 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

17. 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.

18. 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

19. 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.

20. 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

21. 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

22. 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

23. 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

24. 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

25. 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

26. 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.

27. Preliminary Survey Data (continued)

28. Questions
You may also George Clifford Dr. Kallanna Manjunath Or Evan Brooksby

29. 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
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