DSRIP Highlights

Welcome

  • Highlights also available in Portable Document Format (PDF)

PAOP Working Session
November 16, 2017

November 2017

Welcome! Overview of Today

  • Working session for PAOP this morning:
  • DSRIP Independent Evaluation – School of Public Health, UAlbany
  • Mid–Point Assessment Action Plan Update – Independent Assessor, PCG
  • The NYS Prevention Agenda and DSRIP Domain 4 – Office of Public Health and DSRIP Team
  • Public Comment forum for NYS 1115 Waiver this afternoon:
  • Focused on the overall Waiver that has allowed the implementation of several programs of the Medicaid Redesign Team (MRT), including DSRIP, Health Homes and MLTC Workforce.
  • PAOP members invited to participate as many of the MRT proposals are being implemented through DSRIP.
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2018 PAOP Engagements Future Focus

  • February 6–8th Statewide DSRIP Learning Symposium

    Staten Island Hilton Garden Inn
    • PAOP Breakfast February 6th – Updated CBO contracting survey results, Overview of PPS Sustainability Plans, PPS Executives invited for informal discussion
    • February 6–8th – PAOP invited to attend Pre–Symposium Intensive Workshops and Learning Symposium Event. Registration and additional information available here.
  • June 19–20th PAOP Public Meeting Albany, NY
    • Overview of PPS Performance for Measurement Year 3
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Progress and Performance Results along DSRIP Timeline

We are here:
Demonstration Year (DY) 3, Qtr 3

Progress and Performance Results along DSRIP Timeline

MY1/DY1: Performance Results Final                                   DY3, Q1 Progress Report: Final
MY2/DY2: Performance Results Final                                  DY3, Q2 Progress Report: Preliminary (Final Dec 2017)
MY3/DY3: Performance Results Final by June 2018          DY3, Q3–Q4 Progress Report: Final by June 2018

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How have PPS performed so far?

PPS earned 95% of all available funds through Dy2

$2,529,408,899 earned of $2,640,661,327 available

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How have PPS performed so far?

PPS have distributed over $1.1B in DSRIP funds to PPS partners through DY3, Q2

PPS have engaged over 530,000 partners in DSRIP projects through DY3, Q2

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How have PPS performed so far?

PPS have reduced Potentially Preventable Readmissions by 14.9%

PPS have reduced Potentially Preventable ER Visits by 11.8%

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PPR: Current results and performance opportunity

Potentially Preventable Readmission

Potentially Preventable Readmission
  MY0 MY1 MY2 MY3 MY4 MY5
Needed 679.0 641.0 605.2 571.4 539.4 509.3
Actual 679.0 654.0 578.0 533.3 492.0 454.0
Delta 0.0 13.0 −27.2 −38.1 −47.4 −55.3

Pursuing the goal of 25% reduction...

If all PPS maintain current reduction rates, the State will achieve a 33.14% reduction over baseline (454.0 per 100,000 members)

MY2 Rates PPS
−30% to −20% NYU Lutheran (−29.98%)
−19% to −10% CCB, CPWNY, Refuah, MCC, SIPPS
−9 to −5% NCI, Mount Sinai, One City, Bronx Partners, Nassau Queens, Suffolk CC, NYPQ
−4% to 0% BHA, ACP, CNYCC, NY Presby, FLPPS, WMC, Montefiore, Care Compass, Alliance
1% + AHI, Leatherstocking, BHNNY

Potentially Preventable Emergency Room Visits

Potentially Preventable Emergency Room Visits
  MY0 MY1 MY2 MY3 MY4 MY5
Needed 34.0 32.1   30.3 28.6 27.0   25.5  
Actual 34.0 35.0   30.0 28.2 26.5   24.9  
Delta 0.0 2.9 −0.3 −0.4 −0.5 −0.6

Pursuing the goal of 25% reduction...

If all PPS maintain current reduction rates, the State will achieve a 26.9% reduction over baseline (24.9 per 100 admission)

MY2 Rates PPS
−20% to −10% Refuah (−18.52%), CCB, AHI, Suffolk CC
−9% to −5% WMC, SIPPS, Care Compass, NYPQ, CNYCC, Leatherstocking, FLPPS, Nassau Queens, NYU Lutheran, Montefiore, One City, Alliance
−4% to 0% Mount Sinai, ACP, CPWNY, NY Presby, BHNNY, Bronx Partners, NCI
1% + BHA, MCC

Notes:
1. Projection assumes a consistent denominator year over year, and rate estimates are based on CAGR projection driven by MY0 − MY2 non–case mix adjusted results

How have PPS performed so far?

PPS have successfully met all project requirements for 31 projects through Dy2

95% of DY2 project requirements successfully implemented

PPS were scheduled to complete an additional 20 projects by DY3, Q2

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What´s Trending Among PPS?

  • Deeper Collaboration with Local Partners
    • Local hubs or groupings of partners for performance, sustained work and impact
    • Performance–based contracting
  • Cross Collaboration Across Sectors
    • ED Diversion/Crisis Stabilization
    • Social Determinants
    • Domain 4
  • VBP Readiness
    • State VBP Bootcamps
    • PPS VBP needs assessment and trainings for PCPs, BH and CBOs
    • Many PPS providing resources for capacity–building and VBP readiness

THANK YOU!

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