PPS Sustainability Survey

  • Survey is also available in Portable Document Format (PDF)

PAOP Meeting

November 29, 2018

PPS Sustainability and Funds Flow Surveys

  • PPS were surveyed in November 2018 to garner insights into:
    • Status of the sustainability planning process and methods of partner engagement
    • Plans to sustain and/or reconfigure organizational structures
    • Plans to transition management and/or ownership of infrastructure
    • Core capabilities of future state organizations
    • How the projections of funds flow distributions support the sustainability plan
    • Specific activities that the DSRIP built infrastructure may support in the future state
    • Plans for any funds retained by the PPS sponsors that are not committed to continuing DSRIP related activities.

Key Findings

  • PPS are committed to sustaining the population health infrastructure built under DSRIP and ensuring it is leveraged to support the goals of DSRIP in the future state.
  • During 2018, PPS made substantial progress in planning for sustainability, with significant Board/governance activity and partner engagement.
  • DSRIP–built capacities will largely transition to a successor organization, some elements may be maintained by a parent or partner organization.
  • PPS are re–organizing into a variety of organizational forms (IPA, ACO, MSO/ASO) and putting in place plans to integrate, or align, PHM capabilities under these models.
  • PPS plan to either disperse all funds prior to December 2020, or to distribute remaining funds as performance payments, grants, or other activities to support the transition to VBP.

Plans for Funds Remaining

  • PPS plan to expend any remaining funds on activities that support DSRIP objectives. Examples include:
    • Support of performance reporting and improvement activities, including providing leadership and coordination MAX or MAX–like teams
    • Additional performance incentive payments to partners
    • Grants to support projects that address the social determinants of health, housing and transportation are the most frequently mentioned
    • Support of the transition to VBP by providing time–limited subsidies to risk–based arrangements
    • Training, tools, and related support for care coordination/management activities
    • Direct services, care coordination/management, community health workers, navigators, etc.

Planned Evolution of PPS Organizations

  • PPS will evolve into one or more organizational models
  • PPS are exploring ways to integrate, or align, DSRIP–built population health management capabilities with traditional organizational models
Planned Evolution of PPS Organizations

Core Capabilities of Future State Organizations

  • Future state organizations will build on all types of PPS capabilities
  • Population health resources and forums for stakeholder/community engagement will be central to future state business models
Core Capabilities of Future State Organizations

Total Number of Times the Capability was Selected by PPS and/or Hub