NY DSRIP Assessment: Increase Contracts, Funding to CBOs

NYAPRS Note: New York’s independent assessment of our DSRIP program indicate that a majority of the 25 regional Performing Provider Systems have not sufficiently engaged and contracted with community partners and need to promptly rectify this. Expect contracts to increase and funds to flow. See more at http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/pps_map/midpoint/docs/companion.pdf.

NYAPRS: NY DSRIP Assessment: Increase Contracts, Funding to CBOs

The NYS Department of Health has released the results of the mid-point assessment of New York’s Delivery System Reform Incentive Payment (DSRIP) program as compiled by its Independent Assessor, Public Consulting Group Inc. (PCG), which looked at the efforts of the 25 regional Performing Provider Systems that are charged and funded to reshape regional health and behavioral healthcare systems to improve treatment outcomes and efficiencies in serving those with the most persistent, costly conditions.

Some key findings will not be a surprise to advocates for consumers and community based behavioral health organizations:

  • “Partner Engagement – A majority of the PPS are behind on their Partner Engagement goals at this point in DSRIP. Most PPS need to focus their attention and funding to engage key partners.
  • Funds Flow – The PMO and Hospitals have received over 70% of DSRIP funds to date across all PPS. PPS will need to fund their network partners at a meaningful level going forward. For example, the PPS must execute their plans to develop and design contracts with their downstream partners to ensure that they maximize engagement across the networks as soon as possible.”

The PPSs and the public are invited to submit comments in response to the IA’s initial recommendations through December 21, 2016 at dsrip_midpoint@pcgus.com.

Here’re some sample excerpts from the IA’s findings in this area as regards specific Performing Provider Systems. You can see full details of all the reports for all the PPSs at http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/pps_map/midpoint/index.htm.

Adirondack Health Institute: The IA recommends the PPS develop a strategy to educate the CBOs about their role in DSRIP, the PPS and their role in this project for improved partner engagement in project implementation. The IA recommends the PPS provide further orientation and develop education materials for partners that are hesitant to conduct PAM surveys.

Alliance for Better Health Care: The IA recommends the PPS develop a strategy to centralize the approach it is taking across the network to address care transitions and include behavioral health and psychosocial issues. The IA requires the PPS to develop an action plan to increase partner engagement, in particular for PCPs and Behavioral Health partners

Bronx Health Access (Bronx-Lebanon): The IA recommends the PPS create a plan to develop incentives to providers in order to engage them in this (Health Home At Risk Intervention) project and encourage them to hire CHWs. The Action Plan should outline specific steps to engage key PCP and Mental Health partners.

Bronx Partners for Health Communities (SBH): The IA recommends that the PPS develop a strategy to increase partner engagement across all project, with a specific focus on Mental Health patterns for Domain 3a projects.

Care Compass Network: The IA recommends the PPS develop a plan to address the workforce challenges with licensed behavioral health specialists and care coordinators.

Finger Lakes PPS (FLPPS): The IA recommends that the PPS develop an action plan to identify and introduce opportunities for mental health professionals to partner with primary care providers, especially in more rural parts of their region. The data in this assessment indicates that FLPPS has only engaged five Mental Health and Primary Care Providers to date. The PPS’ success in implementing this project will not only impact its ability to earn performance funding but also High Performance Funds.

Nassau Queens Performing Provider System: The IA recommends that the PPS develop a strategy to increase partner engagement throughout its target area, with a specific emphasis on engaging Behavioral Health (Mental Health and Substance Abuse) and PCP partners. Behavioral health providers and integration with primary care are essential to realize the project goals of behavioral health integration and to be able to earn the high performance funds.

Westchester Medical Center: The IA recommends that the PPS develop an action plan to identify and introduce opportunities for mental health professionals to partner with primary care providers. It will be important to increase the engagement of PCP and Mental Health partners in this project to ensure the project is implemented successfully...The IA requires the PPS to develop an action plan to increase partner engagement. The plan needs to provide specific details by each project for partner engagement.

NYAPRS is continuing to work with the Department of Health and its vendor KPMG around strategies to increase contracts for value based propositions from behavioral health agencies.

See below for the official notice about the assessment’s findings.

-----Original Message-----
From: doh.sm.mrtupdates [mrtupdates@HEALTH.NY.GOV]
Received: Tuesday, 29 Nov 2016, 10:58AM
To: MRT-L@LISTSERV.HEALTH.STATE.NY.US [MRT-L@LISTSERV.HEALTH.STATE.NY.US]
Subject: DSRIP Mid-Point Assessment Initial Recommendations

Dear MRT Listserv Subscriber:

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).

The Department is pleased with the findings of the review, as all twenty-five PPS demonstrated that they are on a track towards success and effective project implementation. There were no findings for any PPS that would warrant any major restructuring intervention, which is a testament to the hard work and dedication of those who are fundamentally changing the healthcare delivery system in New York State.

The IA has prepared a Mid-Point Assessment Report for all twenty-five PPS as well as the following three appendices for each PPS containing additional data used in the completion of the Mid-Point Assessment review:

  • Data from the 360 Survey responses received from sampled network partners.
  • Partner engagement tables for all Domain 2 and 3 projects provided by the PPS as part of their DY2, Q2 reporting.
  • Project and organizational narratives submitted by the PPS as part of the DY2, Q1 PPS Quarterly Reports.

The IA has also developed a “Mid-Point Assessment Report Companion Document” that provides details on the Mid-Point Assessment process and methodology as well as a summary of the results for all PPS.

PPS and the public are invited to submit comments in response to the IA’s initial recommendations through December 21, 2016. All comments should be submitted to dsrip_midpoint@pcgus.com.

Following the initial comment period, the IA will review all comments from the PPS and the public and determine if any modifications to the initial recommendations are necessary. The IA will then release its final recommendations by January 3, 2017, along with a compilation of all comments received during the initial comment period. The final recommendations will be available for public comment through January 23, 2017. These recommendations will then be presented to the Project Approval and Oversight Panel (PAOP) from January 31 – February 3, 2017. The full Mid-Point Assessment timeline can be found on the DSRIP website here, http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/mid-pt_assessment/2016-06-21_timeline-and-updates.htm.

All Mid-Point Assessment reports and recommendations can be found on the DSRIP website here, http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/pps_map/midpoint/index.htm.

Thank you.