1. NYP/Q PPS PAC Meeting
NYP/Q PPS
December 5, 2016

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

3. Key Upcoming Dates for DSRIP
1st/2nd week of December: Payment# 3 distribution to eligible partners
12/09: All PPS Meeting in Albany
12/31: End of DY2, Q3
December, 2016
01/01: DY2, Q4 Begins
01/19: PAOP member visit
01/31: DY2 Q3 Quarterly Report due
January, 2017
NYP/Q PPS PAC Meeting

4. DSRIP Updates Midpoint Assessment Results
The Independent Assessor (IA) for New York’s Delivery System Reform Incentive Payment (DSRIP) Program has completed its Mid-Point Assessment of all twenty-five Performing Provider Systems (PPS).
NewYork-Presbyterian/Queens PPS is 1 of the 4 PPSs who received NO formal recommendations from the Independent Assessor (IA) at the midpoint assessment
NYPQ PPS PAC Meeting

5. DSRIP Updates Midpoint Assessment Results, cont’d
The NYP/Queens 360 survey sample included 32 participating network organizations identified in the PIT, 20 of those sampled(63%) returned completed survey.
Respondents’ answers overall were positive with 79% of all respondents’ answers were either Strongly Agree or “Agree”. The NYPQ aggregate 360 survey score ranked 10th out of 25 PPS
NYPQ PPS PAC Meeting

6. DSRIP Updates Midpoint DY1 Performance Measures
NYPQ PPS PAC Meeting

7. DSRIP Updates Medicaid Accelerated Exchange (MAX) Series
NYP/Queens signed up for the MAX Series which is a Rapid Cycle Continuous Improvement program that brings frontline care providers together to redesign the way care is delivered.
The MAX Series will focus on “Targeting Avoidable Hospital Readmissions for High Utilizers* with the goal of reducing 30-day readmissions and overall hospital utilization
High Utilizers are defined as any patient that has 4+ Inpatient Admissions in a 12-month timeframe
2 Train-the-Trainer (TTT) participants from PMO will be trained in the RCCI methodology and co-facilitate MAX Series Workshops
MAX Action team members include case manager, social workers, nursing rep and attending ED physician from NYP/Queens and the PI staff from Silvercrest SNF
NYPQ PPS PAC Meeting

8. DSRIP Updates Medical Record Review
Independent vendor, Medical Review, appointed by NYSDOH conduct the quality review of 2 measures for every PPS
NYP/Queens 2 measures selected for record review
Depression Screening
Hypertension Control
On November 14-16, 2016, the Medical Review team made a site visit and did chart review
Pending results, anticipated in January 2017
NYPQ PPS PAC Meeting

9. PPS Updates & Project Specific Highlights
NYP/Q PPS PAC Meeting
PPS Updates & Project Specific Highlights
NYP/Q PPS PAC Meeting

10. PPS Updates
Finance
Payment # 3 – Funds flow allocations completed; payments will be distributed first week of December
Payment #3 Details: ($403k total Network Payout)
$1.2M Revenue
$47k Contingency
$94k Workforce
$130k Admin OH
$57k Cost of Imp
$47k Non Covered
$94k Revenue Loss
$224k Incentive: Engaged Patients
$26k Incentive: EIP/EPP
$26k Incentive: CBO Engagement
Payment #2 pending payments (4 total) to be distribution with Payment # 3 ($11k total)
NYPQ PPS PAC Meeting

11. PPS Updates IT Updates Phase II RHIO Pilot ongoing
38 partners engaged, 27 pending
Of the 38 engaged partners, 12 are connected to RHIO
On track of having the partners connected to RHIO by end of DY3
Cureatr Event Notification rollout to SNFs in progress
11 sites engaged; 4 received demos of tool
Performance Logic Training & Rollout
Project management application is anticipated to go-live in February, 2017.
Partners will be trained on how to access and report project task status, using the application
– Training (December 2016-January 2017)
NYP/Q PPS PAC Meeting

12. PPS Updates Website NYP/Queens PPS restructured website now LIVE
NYP/Q PPS PAC Meeting

13. PPS Updates Newsletter
Quarterly newsletter will be released on 12/16
The newsletter will be distributed via to the primary contacts in all our PPS partner organizations. You should expect from the following sender with address:
NewYork-Presbyterian/ Queens Hospital
In order to add any recipient to the newsletter distribution, please contact Coleen or Sadia in PMO
NYP/Q PPS PAC Meeting

14. PPS Updates SNF Care Transition, INTERACT and Home Care Projects
The 1st INTERACT Training with Skilled Nursing Facilities was completed on October 24-25
The 2nd session was completed on November 14-15th with our remaining Skilled Nursing Facilities and Home Care partners
The SNFs and Home care Partners are currently in the process of implementing the INTERACT tools, starting with SBAR and Stop and Watch
MOLST/eMOLST training plan to start from January 2017
NYP/Q PPS PAC Meeting

15. PPS Updates Palliative Care Project
Congratulations to Dr. Cynthia Pan and Marta Kazandjian, who received an award at the Center to Advance Palliative Care (CAPC) National Palliative Care Conference on October 27, They received the award for the joint Silvercrest - NYP/Queens abstract "New Model: Integrating Palliative Care Across Care Settings."
CAPC Needs Assessment tool shared with the LTC partners to outline current practices and identify any gaps
Next EPEC Training #6 on December 7, 2016 – modules Goals of Care & Sudden Illness
NYP/Q PPS PAC Meeting

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

17. Next Steps
All PPSs are in Measurement Year 3 where the focus is on Pay-for-Performance and not only Pay-for-Reporting
Rapid Cycle Unit development in progress
Meeting on 1/17 to review process with key stakeholders
PMO team completed the trending, analysis and comparison of previous data sets with the new data set released in MAPP
NYP/Q PPS PAC Meeting

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