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

2. 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

3. Agenda Speed & Scale Dashboard Participating Provider Agreements
Projects

4. 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)

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

6. 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

7. 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.

8. 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

9. 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.

10. 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

11. 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.

12. 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.

13. 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)

14. 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

15. 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.

16. 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

17. 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”

18. 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

19. 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

20. 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

21. 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

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

23. 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