February 13, 2017
Change Starts with a Heart-to-Heart

Heart disease is the leading cause of death for American women and men, accounting for 1 in 4 deaths in the United States. Nearly half of Americans have at least one  risk factor for heart disease , such as high blood pressure, obesity, physical inactivity, or an unhealthy diet. Risk also increases with age.

The good news is that individuals of all ages can reduce their risk for heart disease by making lifestyle changes and managing medical conditions through appropriate treatment plans. With a record number of young adults living at home or in close contact with older relatives, they have a golden opportunity to encourage parents and other family members to make heart-healthy changes and offer support along the way.

That's why, for American Heart Month 2017, Million Hearts® is calling on younger Americans to spread prevention messages. Young adults have the power to engage their parents in crucial conversations about heart disease prevention that can result in heart-healthy behavior changes.

Million Hearts® is a U.S. Department of Health & Human Services initiative that is co-led by the Centers for Disease Control and Prevention and the Centers for Medicare & Medicaid Services, with the goal of preventing one million heart attacks and strokes by 2017.  Click below to find helpful resources.
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Keeping a Million Hearts Beating:  How Integrated Care Can Reduce Heart Disease.  Free Webinar:  Tuesday, February 28, 1:00 pm

People with mental illness are nearly twice as likely to die from chronic health conditions, including heart disease, than the general population.   SAMHSA Primary and Behavioral Health Care Integration (PBHCI) grantees have shown how integrating primary care helps reduce cholesterol, lower blood pressure and lower the risk of hypertension for people with mental illnesses. Join this webinar to learn what's next for Million Hearts® and how health care providers, including integrated primary and behavioral health care providers, have used Million Hearts'® blood pressure protocols to improve the health of the people they serve.

Register for free here.  
Going Beyond CCHL 101 Master Training

Would you like to enhance your knowledge and ability to serve diverse communities?
The Communities we serve are growing in cultural and linguistic diversity. There is a need to inspire cultural change within organizations. The Cultural Competency and Health Literacy Master Training (Train the Trainer--TTT) Program's curriculum was developed by Martine Hackett, PhD, MPH, National Center for Suburban Studies at Hofstra University, and is an interactive program in which participants will have hands-on learning experience to build better communities.   Attendees will learn:
  • The role social determinants of health have on population health outcomes
  • The relationship between place and health on Long Island
  • Unconscious bias
  • How the National CLAS standards can help reduce health disparities
  • How to apply cultural humility in community-serving organizations
  • The components of health literacy
  • The "teach back" method
  • Utilization of  health literacy strategies
  • How to lead Master training, organizational and staff trainings
The next class is scheduled for May 23, 2017, 8:30 am to 5 pm.   Post-training,  Master Trainers  will receive a certificate of completion and the ability to host training sessions throughout the region.   Master Trainers  will be able to facilitate two different types of training: (1) 2 hour CC/HL training sessions for workforce professionals and (2) full-day master training sessions for future master-trainers.

Registration information for this event will be provided soon.  Preference will be given to those applicants with previous facilitation experience, those who work regularly with under-served populations within their professional roles and those on the wait-list. This application process will allow us to identify a diverse network of TTT Master Trainers.   Who Should Attend?   Healthcare professionals, Non-Healthcare professionals: practice managers, PPS Leaders, Community Based Leaders, and CCHL Leads.
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Bi-weekly spotlights highlighting opportunities for community engagement throughout Suffolk County

Save the Date:  Saturday, June 10, 10 - 3 pm
Camp Pa-Qua-Tuck, Center Moriches
Hosted by the John P. Dwyer Veterans Peer Support Project;
A Joint Initiative of Suffok County United Veterans & Suffolk County Veterans Service Agency.
FREE activities for veterans and their families dealing with post-service transition issues.  Children are welcome!  Breakfast and lunch will be served.
631-853-8345; www.dwyerproject.org

Sponsored by Adelante of Suffolk County Inc.
Weekly Service on Wednesdays from 10 am to 2 pm at Adelante, 88 Carleton Avenue, Central Islip. 631-234-1049.  Click here for flyers in English and Spanish.  

Sponsored by Parker Jewish Institute.  FREE Support group links caregivers, family and friends with other caregivers to provide information and support.
Second Monday of the month, 1 - 2:30 pm,  South Country Library, Bellport.  See flyer for registration and details.

Sponsored by the Knapp Cardiac Care Center.
View all the events here for the month of February taking place at Brookhaven Memorial Hospital Medical Center.
The next Project Advisory Committee Meeting is scheduled for Tuesday, March 21, 2017, beginning at 9 a.m.
We are planning future PAC meetings and would like to hear your suggestions on topics of interest and importance to you and your organization.  Your input is vital.  Please email us your ideas at DSRIP@stonybrookmedicine.edu. 
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FREE Courses 

Suffolk County Community College's Office of Continuing Education and Department of Health Information Technology are providing on-line courses for healthcare professionals.  Courses are for care managers, social support professionals, career changers and clinicians.  
  • Population Health
  • Care Coordination & Interoperable Health IT Systems
  • Healthcare Data Analytics
  • Value-based Care
  • Patient-centered Care
Admission requirements:  Experience working with an EHR System, employed in healthcare, HS or equivalency diploma and access to the internet and computer with Flash software. These courses are being offered by Suffolk County Community College through a grant and partnership with Columbia University.  Click for access to: Application, Authorization Form and Flyer for details. Contact Andrea Dunkirk at 631-451-4552 or dunkira@sunysuffolk.edu for further information.

Ashlee McGlone, Provider Relations Liaison, Network Development Office
Ashlee will be supporting SCC's Provider Engagement Program.  She received her master's degree in Psychology from Stony Brook University and worked for the World Trade Center (WTC) Health Program for the past three and a half years.  Her initial work at the WTC Health Program supported several ongoing research projects aimed at understanding how WTC responders were affected by the WTC disaster.  Ashlee became the Senior Research Program Coordinator responsible for implementing new research projects, overseeing their progress, and supervising research staff.  As the Senior Research Program Coordinator, Ashlee worked closely with clinical staff to improve compliance of research-based measures and educate staff regarding research findings, all of which was to improve patient care.  

Zafardjan Dalimov, RN, MS, Director, Clinical Program Innovation, Transformational Leadership Team
Zafardjan will be leading the SCC's Clinical Program Innovation efforts to support our partner primary care practices and ambulatory practice sites.  His focus will be on achieving improved overall health of the Medicaid population through the implementation of Clinical Programs, which include care delivery models designed to improve chronic disease prevention and outcomes.
Zafardjan joins us from Montefiore Health System's Care Management Organization, where he was a DSRIP Clinical Navigation Manager and implemented the DSRIP program, identified preventable admissions in the Emergency Department and coordinated appropriate services in alternative settings.  Completing his Master in Science degree in Natural Sciences, at University at Buffalo in 2016, he also has prior experience as Nursing Supervisor for a sub-acute and long-term care facility, Hospice RN Case Manager and Staff Nurse.
Through various programs and initiatives, the SCC and its project community contribute community-wide ranging knowledge published on health care redesign and development through system transformation, clinical improvement and population-wide objectives. The SCC disseminates research, data, and lessons learned through its print and electronic publications.  Click here to view the plans and toolkits for the SCC's many projects and initiatives.

New York State Medicaid Director, Jason Helgerson, and the Director of the Albany Promise, Juliette Price, have released a new joint blog for England's National Health Service Confederation (NHSC). The blog, titled "Cross-sector collaboration is a game changer for social change," highlights the importance of cross-system partnership and how it mutually benefits both sectors. The blog also explains the joint project between the New York State Medicaid Program and The Albany Promise where Medicaid would use its purchasing power to encourage key healthcare providers to increase school readiness rates in Albany County. To read the full blog, click here.

In October 2015, the Department of Health (DOH) launched the Medicaid Accelerated eXchange (MAX) Series Program, an intensive learning collaborative that puts front-line care providers in a position to lead change. The hope was that by enabling change at the local level, the MAX program would be able to support the PPS to achieve DSRIP goals.   The DOH is happy to report that the MAX Series has met these goals and thanks the PPS and Action Teams that  participated in this ambitious effort, making this work possible!

Since October 2015, the DOH has run the MAX Series Program three times; two programs focused on 'Improving Care for Super Utilizers' and one program focused on the 'Integration of Behavioral Health and Primary Care.' The three programs saw participation from 17 PPS who assembled 23 interdisciplinary Action Teams including over 230 providers, administrators, and community-based organization/social service agency representatives.
The DOH has developed Final Reports on both topics that detail the achievements of the Action Teams as well as lessons learned and best practices that all PPS can leverage and learn from. You can view the reports here.
The PowerPoint presentation from the February 7th, 2017-18 Executive MRT Budget and Global Cap Update webinar and the 2017-2018 Executive MRT Budget Scorecard are now available on the NYS Department of Health Website.

Over a three day period, February 1 - 3, the Project Approval Oversight Panel (PAOP) held meetings in Albany to review the Mid-Point Assessment recommendations of all PPS.  Provided below is a summary of the results of the meeting.

-8 PPS had the recommendations of the Independent Assessor (IA) ACCEPTED by the PAOP;

-17 PPS had the recommendations of the IA ACCEPTED with MODIFICATIONS by the PAOP.

  • 11 PPS received the standard modification as follows:
    • The PPS must develop a detailed plan for engaging partners across all projects with specific focus on Primary Care, Mental Health, Substance Used Disorder providers as well as Community Based Organizations (CBOs). The Plan must outline a detailed timeline for meaningful engagement. The Plan must also include a description of how the PPS will flow funds to partners so as to ensure success in DSRIP.  The PPS must also submit a detailed report on how the PPS will ensure successful project implementation efforts with special focus on projects identified by the IA as being at risk. These reports will be reviewed and approved by the IA with feedback from the PAOP prior to April 1, 2017.
  • 1 PPS received the standard modification and the removal of one recommendation for Project 3.a.iii.
  • 1 PPS received the standard modification and the addition of one recommendation to submit a report on PPS hub activities
  • 1 PPS received the standard modification and the addition of one recommendation to submit a report on PPS organizational strategy
  • 1 PPS received a modification to the recommendation for partner engagement
  • 1 PPS received a modification to add one recommendation to provide detail on contingency and sustainability fund allocations and related policies
  • 1 PPS received a modification to remove one recommendation related to VBP
The IA will be releasing the final template for the Mid-Point Assessment Action Plans to the PPS by February 10, 2017.   All PPS presentations from the PAOP meetings can be found on the DSRIP website here.   A more detailed summary can be found here.  Click to see pictures from the PAOP meetings.   If you have any questions about the Mid-Point Assessment, please contact the IA at DSRIP_IA@pcgus.com
Job woman showing hiring sign. Young smiling Caucasian   Asian businesswoman isolated on white background.
The SCC is pleased to invite qualified career seekers to apply for open positions. All job descriptions for current opportunities are posted here.
Current job openings:
  1. Director, Care Transition Innovation
  2. Compliance Officer
  3. Project Manager: PCMH Practice Facilitation 
  4. Care Manager
  5. Data Visualization Analyst
  6. Social Worker
  7. Community Health Associate
  8. Population Health Platform Training and Support Specialist
For more information, please contact the Suffolk Care Collaborative.