Some Bytes about Staten Island’s ‘Advanced’ PPS

NYAPRS Note: According to NYS officials, New York’s DSRIP program aims to “fundamentally restructure the health care delivery system by reinvesting in the Medicaid program, with the primary goal of reducing avoidable hospital use by 25% over 5 years.” The program relies on 25 regional Performing Provider Systems, that are receiving 5 years of funding to create new networks of collaborative treatment, rehabilitative and social services. Following is some information on one of the more acclaimed PPSs.

Some Bytes about Staten Island’s ‘Advanced’ PPS

Here’re some interesting information, most from this morning’s Crain’s Health Pulse, about the Staten Island Performing Provider System (that NYS Medicaid director Jason Helgerson has called “one of the most advanced” and that has been referred to as "hospital-led, but not hospital-controlled” by one of the state appointed assessors.

  • SIPPS’ lead partners are Staten Island University Hospital and Richmond University Medical Center
  • SIPPS functions on a small island with one PPS: this eliminates a lot of the challenges of counting actively engaged clients by different PPSs
  • It’s network includes 70 institutional members and hundreds of clinical practitioners
  • It serves some 130,000 patients, 50,000 of whom are uninsured
  • The state has allocated $217,087,986 of DSRIP waiver dollars to meet the goals of DSRIP
  • Some key features: SIPPS
    • has created community-health-worker and health-coach training courses at the College of Staten Island
    • pulls in hospital data daily to supplement the claims information provided by the state.
    • is working with New York City and EMS on an EMS diversion project that focuses on the 5% of individuals who are responsible for 40% of calls throughout the whole year.
    • has instituted “lean management” practices (http://www.lean.org/) which are aimed at enhancing customer value and eliminating waste
    • has created training programs on ‘cultural competency and health literacy; see https://www.youtube.com/watch?v=7HH6wjDWHu0&feature=youtu.be

  • Behavioral health related initiatives:
    • Integrated Primary Care & Behavioral Health
      • Provide primary care in mental health and substance abuse settings
      • Provide mental health and substance abuse care in primary care settings
    • Strengthen collaboration between mental health and substance abuse and grows support programs and services
    • Withdrawal Management & Enhanced Abstinence: develop community treatment programs for people with substance use issues

  • According to SIPPS executive director Joseph Conte: “…the majority of the funds don't go to the hospitals, they go to community-based organizations.

  • Conte believes that his PPS will have a future beyond the 5 DSRIP years: “with payment reform and changes in the care delivery model, what we're doing now will have a lasting impact for the future…especially one like ours that has a lot of technological and analytic capabilities.”

For more on SIPPS, see http://www.statenislandpps.org/home and http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/pps_map/county/co_richmond.htm