April 6, 2018
SCC PROJECT ADVISORY COMMITTEE MEETING HIGHLIGHTS  
Left to Right, Alyse Marotta, Alexandra Kranidis, Kelly Donnelly, Richard Poveromo & Stephanie Burke.

On March 26, 2018, the SCC held its first Project Advisory Committee (PAC) meeting of the year. Over 200 members attended the meeting to hear DSRIP program updates. The presentations highlighted best practices and successes of five of SCC's DSRIP programs. SCC team members were invited to showcase these five programs through poster presentations at the Third Annual Statewide DSRIP Learning Symposium which took place February in Staten Island.

Listed here are the programs presented at the PAC meeting - click on the titles to view the corresponding poster board.

Presented by Alexandra Kranidis, MPH, CPH, Project Manager, SCC

Presented by Stephanie Burke, MS, MHA, CHES, Administrative Manager, Community Engagement & Cultural Competency, SCC
 
Presented by Kelly Donnelly, MHA, Project Manager, SCC
 
Presented by Richard Poveromo, LMSW, CCM Director of Social Work, John T. Mather Memorial Hospital
 
Presented by Alyse Marotta, MPH, Administrative Manager, Behavioral Health Programs, SCC
 
Peggy Chan, DSRIP Program Director, NYS DOH.
We were pleased to have Peggy Chan, DSRIP Program Director, from the NYS Department of Health, speak about performance, value based payment and sustainability as we move into DSRIP Year 4. She provided meeting attendees with key information about the importance of transforming practice and "starting a movement" to advance the health care delivery system in the State.
Neil Shah, Director of Business Operations, SCC

The day's agenda concluded with an overview of Value Based Payment (VBP) by Neil Shah, SCC's Director of Business Operations. He presented Introduction to Value Based Payment Reform & A Focus on Population Health Management (VBP 101) and A Deeper Dive into Value Based Payment Models (VBP102). These presentations are on the SCC's Learning Center and available to all interested in learning about VBP arrangements.

C lick below links for PAC meeting presentations.  



Watch our website for the PAC meeting video.
SCC's TEAM BRINGS HOME THE GOLD
Back row, Jason Helgerson, NYS Medicaid Director. Front row left,  Alexandra Kranidis, Project Manager; Amanda Chirco, Project Manager; Stephanie Burke, Administrative Manager; Alyse Marotta, Administrative Manager; Kelly Donnelly, Project Manager all from SCC.
At the  Third Annual Statewide DSRIP Learning Symposium which took place February 6-8, 2018, in Staten Island, SCC Team members won the gold medal in a fun competition among all 25 Performing Provider Systems.  

In the spirit of the Winter Olympics opening games on February 8, 2018, PPSs were encouraged to make an Olympic-themed poster or banner to represent their PPS during NYS Medicaid Director, Jason Helgerson's traditional "PPS Roll Call." 

Congratulations to the SCC team members who created "The DSRIP Games" interactive banner which took the audience down the Suffolk Slalom and past the many DSRIP milestones and obstacles, ultimately winning the gold. The banner, complete with an audio accompaniment demonstrated the Suffolk Care Collaborative's winning team spirit.

SCC's Winning Banner, "The DSRIP Games"

FEEDBACK SOUGHT IN UPDATING NYS's PREVENTION AGENDA 

The NYS Department of Health (DOH) is conducting a state health assessment that will be used to inform the development of the updated Prevention Agenda for 2019-2024.   Partner organizations are encouraged to participate in the survey to provide guidance on vision, priorities and proposed focus areas for the Prevention Agenda for the next six years.  

The goal of the Prevention Agenda is to improve the health status of New Yorkers and reduce health disparities through increased emphasis on prevention.  For more information on the Prevention Agenda, visit the DOH website.  To provide your feedback, please click here to fill out the brief survey.  
HEALTH AFFAIRS BLOG POSTS FROM NY STATE DEPARTMENT OF HEALTH

DSRIP Medicaid Accelerated eXchange (MAX) Program
The blog, titled "MAX: Achieving Large-Scale Transformation By Engaging Front-Line Action Teams," is co-authored by NYS Medicaid Director Jason Helgerson, DSRIP Director Peggy Chan, DSRIP Medical Director, Douglas Fish, MD, and experts in the field, Amy Boutwell, MD, and Douglas Woodhouse, MD was published in Health Affairs.
 
The blog highlights the large scale diffusion of innovation that the MAX program has spread throughout New York State and its ability to reduce avoidable hospital use while positively influencing outcomes for patients.
 
To date, the MAX program has achieved:
  • Rapid scale and spread: 79 MAX teams across New York State have formally engaged in the MAX program to improve care for high utilizers.
  • Large-scale engagement: More than 800 clinical, behavioral and social service professionals, administrators and executives have participated on MAX teams.
  • Replicable methodology: Among the 2016-17 cohort, MAX teams incorporated 92 percent of the core concepts and methods into their work.
  • Promising results: Among the 2016-17 cohort with complete data, 54 percent of teams exceeded their goal of reducing inpatient use by 10 percent, and as a cohort, teams collectively reduced inpatient use by 12.5 percent, as compared to internal, historical controls.
SCC has been actively engaged in the Medicaid Accelerated eXchange (MAX) program for several cycles.  To date, teams from four partner organizations have participated in the program: Brookhaven Memorial Hospital Medical Center, Southside Hospital, Good Samaritan Hospital and Stony Brook Family Medicine. In addition, Susan Jayson, LCSW, SCC's Director, Behavioral Health Integration, Kelly Donnelly, MHA, SCC's Project Manager, Acute Care Transitions, and Gloria Mooney, MS, CSSGB, DSRIP Project Manager at Catholic Health Services of Long Island, participated in the MAX Training Program (MTP). This train-the-trainer program is designed to develop and empower trainers to lead change by leveraging the Rapid Cycle Continuous Improvement (RCCI) methodology of the NYS DOH's MAX Series workshops. Through three workshops over an eight month period, the MTP equips its participants to then launch their own MAXny Series at the local level. Overall, the train-the-trainer program scales and sustains the MAX Series process improvement across the delivery system by putting clinicians in the lead to make changes to local processes, improve patient outcomes and move the needle on key DSRIP measures.

To read the full blog post, click here.  

Reflections From a Departing Medicaid Director
In the blog written by Jason Helgerson, NYS Medicaid Director, titled "Reflections From A Departing Medicaid Director,"  Mr. Helgerson,  reflects on the past 11 years during his tenure as a Medicaid Director, first in Wisconsin and then in New York.
 
The blog also describes Mr. Helgerson's top 5 most important lessons learned during his tenure as a Medicaid Director. Those lessons include:
 
Lesson #1: You can bend the Medicaid cost curve without taking benefits away from poor people and stakeholder engagement holds the key.
Lesson #2: Medicaid is a scalable and highly cost-effective vehicle for reducing the uninsured rate.
Lesson #3: Medicaid can and should lead the way in health care delivery system reform.
Lesson #4: Medicaid programs must look beyond "legacy" health care models and support new care models.
Lesson #5: Medicaid is the most important health insurance program in the United States.

To read the full blog post, click here
HOFSTRA UNIVERSITY HOSTING NATIONAL PUBLIC HEALTH WEEK EVENT SERIES 
April 11 - 12, 2018

Hofstra University School of Health Professionals and Human Services is hosting several events on April 11 and 12, 2018, in recognition of National Public Health Week.

Wednesday, April 11, 2018
9:35 - 11am: Intersection of Entrepreneurship and Community Health
11:10am - 12:35pm: 5th Annual Interdisciplinary Student Film Competition: Summer Safety
12:30 - 2:30pm: 6th Annual Public Health Fair
4:30 - 6:20pm: Intersections Between Social Determinants and Health of US Immigrants: The Emerging Role of Social Justice to Eliminate Health Disparities
6:30 - 8:20pm: The Truth About Aidan: My Life as Part of the Transgender Community

Thursday, April 12, 2018
4:30 - 6:20pm: Fail -> Succeed: Finding Your Path Over, Around, and Through Obstacles
6:30 - 8:20pm: Strategic Alignment in a Time of Healthcare Transformation
6:30 - 8:20pm: The Delta Omega Public Health Honor Society Presents: Public Health Career Panel and Roundtable

Click here for event descriptions and to register for any of the events.
RELIGIOUS COMPETENCY TRAINING FOR FRONTLINE STAFF AND MANAGERS 

On April 10, 2018, the Greater New York Hospital Association (GNYHA) will host its next religious competency training session for hospital staff with the Tanenbaum Center for Interreligious Understanding (the Tanenbaum Center). The Tanenbaum Center is a secular, non-sectarian, nonprofit organization that promotes and teaches mutual respect for religious diversity. The organization provides educational programs and resources to change the way individuals treat one another in the workplace -- including in health care settings -- and works internationally with multi-faith activists on conflict resolution. The half-day training session -- designed for frontline staff, managers and other staff who interact with patients -- builds upon GNYHA's ongoing cultural competency training sessions by specifically focusing on how religion intersects with the provisions of health care.

Training will take place Tuesday, April 10, 2018, 9 am to 1 pm at GNYHA's Conference Center at 555 West 57th Street, 15th Floor, New York, NY.  Contact aosorio@gnyha.org with any training content questions and ssmith@gnyha.org with registration questions.   Click here to register online.  
Community word cloud with magnifying glass, concept
COMMUNITY ENGAGEMENT HIGHLIGHTS
Bi-weekly spotlights highlighting opportunities for community engagement throughout Suffolk County

WOMEN'S EMPOWERMENT GROUP WITH DEBI SILBER
Sponsored by Town of Brookhaven Women's Services
Wednesday, April 11, 2018, 6 pm - 7:30 pm
Brookhaven Town Hall Media Room, 2nd Floor, One Independence Hall, Farmingville.  
Advanced registration required for this FREE event.  Call 631-451-6146 or email womenservices@brookhavenny.gov to register.  Click here for event flyer. 

ASSISTIVE TECHNOLOGY AND RESOURCE FAIR FOR PEOPLE WHO ARE BLIND OR VISUALLY IMPAIRED
"See For Yourself 2018" Fair sponsored by Suffolk Cooperative Library System.
Friday, May 4, 2018, 9 am - 3 pm.  For more information call 631-286-1600 or email outreach@suffolknet.org.  Click here for flyer.  

SOCIAL SERVICE REFERRALS AT SOUTH COUNTRY LIBRARY
Stony Brook University Master of Social Work student is available at South Country Library, 22 Station Road, Bellport, to assist with social service referrals and paperwork.  Appointments and walk-ins are welcome. Currently available Wednesdays 3:30 - 6:30 pm and Thursdays 5:00 - 9:00 pm.  Email ACULOSO@SCTYLIB.ORG to make appointment.  See flyer for more details.

BETTER CHOICES, BETTER HEALTH® WORKSHOPS
FREE Diabetes and Chronic Disease self-management programs.
To find convenient workshop locations throughout Suffolk County and register, click  here

COMMUNITY BULLETIN BOARD
Visit SCC's Community Engagement page for on-going neighborhood programs here.  Partners can request to have their community events posted on the bulletin board by clicking here.

APRIL IS ALCOHOL AWARENESS MONTH AND NATIONAL MINORITY HEALTH MONTH
If you would like to promote special events in recognition of these awareness events on our Community Bulletin Board or newsletter, submit them here.  





Please visit our Community Engagement page  for our calendar of events and  resources.
"MAKING THE MOST OF A LITTLE:  WHY THE FIRST 1,000 DAYS OF LIFE MATTER TO SOCIETY" VIDEO
National and State Experts Discussed How to Prioritize Early Childhood Development in Policymaking at Rockefeller Institute Forum

Jack Shonkoff, Director, Center on the Developing Child at Harvard University
National childhood development experts and state policymakers came together at the Rockefeller Institute of Government on March 22, 2018, for a panel discussion about how New York State can build systems to better serve the needs of young children.

The forum, "Making the Most of a Little: Why the First 1,000 Days of Life Matter to Society," included Jack Shonkoff, Director of the Center on the Developing Child at Harvard University, New York State Medicaid Director Jason Helgerson, New York State Commissioner of Education MaryEllen Elia and National Director of ZERO TO THREE's HealthySteps program Rahil Briggs.

The forum was presented by the Rockefeller Institute of Government, the Center for Education Pipeline Systems Change, the Center on the Developing Child at Harvard University, New York State Medicaid, the Schuyler Center for Analysis and Advocacy, the New York State Education Department, ZERO TO THREE and The Albany Promise Cradle to Career Partnership.  

Jack Shonkoff's presentation, "Leveraging Science to Strengthen the Foundations of Early Learning, Economic Productivity, and Lifelong Health" can be found here.  T he full video of the event is available by clicking here .  
ALL THINGS VBP - VALUE BASED PAYMENT UPDATE

MRT STRUCTURAL ROADMAP:  ROLES AND RESPONSIBILITIES IN A VBP WORLD
Continuing towards the goals of DSRIP and Value Based Payment (VBP), the State has developed a document titled,  "Medicaid Redesign Team Structural Roadmap:  Roles and Responsibilities in a Value Based Payment World."

The document seeks to clearly define the various roles that critical 'middle layer actors' play in a reformed VBP system that is evolving to become more responsive to both patient and provider needs.   The public comment period concerning the document ended on April 2, 2018, and the  document will be sent to the Centers for Medicare and Medicaid Services ( CMS) for consideration as an appendix to the VBP Roadmap.  Questions and comments can be sent to VBP@health.ny.gov .  

SCC's Learning Center provides education on VBP and provides other learning resources.  Click here for the learning module. To access our Partner Resources, click on the VBP tab where you can access VBP University,  an online, educational resource created by NYS DOH to raise awareness, knowledge and expertise in the move to Value Based Payment (VBP). VBP University combines informational videos and supplemental materials that stakeholders interested in VBP can use to advance their understanding of this massive transformation effort.  
GREATER NEW YORK HOSPITAL ASSOCIATION  CO-PUBLISHES REPORT
Partnerships Between Health Care Institutions and Community-Based Organizations

The Greater New York Hospital Association (GNYHA) has released a report published in collaboration with The New York Academy of Medicine entitled, Partnerships Between New York City Health Care Institutions and Community-Based Organizations.  The report describes findings from a research project in which focus groups and interview participants from New York City-based hospitals, Delivery System Reform Incentive Payment (DSRIP) program Performing Provider Systems (PPSs) and community-based organizations (CBOs) discuss partnering experiences, processes, successes and challenges.  Although the research focused on New York City partnerships, the findings are broadly applicable across the entire GNYHA membership.  To read more click here.  The report is publicly available on the GNYHA website here.  
NYS DOH DSRIP ANNOUNCEMENTS
   
FUTURE OF THE PATIENT REVIEW INSTRUMENT (PRI)
As part of the Regulatory Modernization Initiative, the Post-Acute Care Management Models workgroup recommended eliminating the use of the Hospital and Community (H/C) Patient Review Instrument (PRI). The Department of Health has issued a Request for Information (RFI) to determine the implications of eliminating the H/C PRI and to seek recommendations for a replacement assessment tool, if necessary. The RFI is available on the DOH website .   Responses should be sent to ALTCteam@health.ny.gov no later than 5:00 pm on April 30, 2018.

NEW WHITEBOARD VIDEO - DSRIP YEAR 4
NYS Department of Health has released another video in their DSRIP Whiteboard series titled, "DSRIP Year 4: Start a Movement."  In the video NYS Medicaid Director, Jason Helgerson, gives an overview of the DSRIP year 4 theme and goals including the focus on performance, the move to Value Based Payment and planning for the future.  
 
To view the video, click here and continue the conversation on Twitter by using the hashtag #StartAMovementNY and tagging @NewYorkMRT.   Questions can be sent to DSRIP@health.ny.gov .

MRT INNOVATIONS IN SOCIAL DETERMINANTS OF HEALTH INITIATIVE
The NYS Department of Health - Office of Health Insurance Programs (OHIP), Bureau of Social Determinants of Health, is launching a new initiative designed to identify innovative new or existing ideas for how to effectively address the Social Determinants of Health (SDH) for Medicaid members across New York.  The State will soon launch a Request for Innovation (RFI) initiative that will solicit proposals from Community-based Organizations (CBOs) across New York, throughout the country, and from entities around the world that will be evaluated by a team of national experts. Top proposals will receive special recognition but all proposals will be made public. 
 
The initiative's primary goal is to help healthcare providers, Managed Care Organizations (MCOs), and DSRIP Performing Provider Systems (PPS) as they seek creative ways to address SDH needs of the members they serve.  This is a crucial time in the State's efforts to effectively address the Social Determinants of Health--PPS are in a vital performance phase and all providers and MCOs are actively moving into Value Based Payment (VBP) arrangements. It is important to note that New York is the only state in the nation that requires advanced VBP contractors to identify a social determinant of health relevant to the population they serve and contract with a CBO to address that need.  This RFI will help all those entities identify new strategies that could be deployed successfully to assist them in their important population health work.  For program specifics and timelines click here.  
 
The OHIP is accepting comments on this program effective immediately.  Comments or suggestions should be submitted to the email below.  Additionally, if you are interested in serving on the review panel and you don't have any potential conflicts of interest, please submit your resume and cover letter stating why you are qualified to participate.   Questions, comments or suggestions can be sent to SDH@health.ny.gov .

DSRIP PROGRAM INDEPENDENT EVALUATION PLAN--CMS APPROVAL
Per Special Terms and Conditions requirements within the MRT 1115 Waiver, the NYS Department of Health was required to submit to the Centers for Medicare and Medicaid Services (CMS) for review and approval a Delivery System Reform Incentive Payment (DSRIP) Program Independent Evaluation Plan. CMS approved the Independent Evaluation Plan on March 13, 2018.  The plan can be viewed here.   

In December 2016, the Research Foundation at the State University of Albany was awarded the contract to be the DSRIP Independent Evaluator and has begun the five year research process according to this CMS approved plan.  Any future changes to this plan as negotiated with CMS will be updated on the DOH website.  Progress and annual reports from the Independent Evaluator will be posted as their work and reports are finalized.  Questions  can be sent to DSRIP@health.ny.gov .

DSRIP MID-POINT ASSESSMENT FINAL SUMMARY
The Special Terms and Conditions (STCs) of the 1115 Waiver required the DSRIP Independent Assessor to conduct a Mid-Point Assessment of the PPS's efforts in implementing their DSRIP Project Plans. The Independent Assessor initiated this Mid-Point Assessment in October 2016. The Independent Assessor reviewed each of the 25 PPSs on their progress towards meeting organizational and project milestones, engaging Medicaid members and partner organizations and in distributing funds to PPS partners.  Initial recommendations were released for PPS and public comment in December 2016 with final recommendations released in January 2017.

Following the approval of the final recommendations by the Commissioner of Health, the PPSs were required to submit Mid-Point Assessment Action Plans to the Independent Assessor for review and approval. These Action Plans were intended to capture the steps the PPS would take to address each of the final Mid-Point Assessment recommendations. The PPSs have responded positively to the feedback from the Independent Assessor and Project Approval Oversight Panel (PAOP), and made significant strides in addressing the areas for improvement identified through the Mid-Point Assessment.  T he Independent Assessor has prepared a document to summarize the result of the PPS Mid-Point Assessment Action Plan efforts and can be found here.  
Job woman showing hiring sign. Young smiling Caucasian   Asian businesswoman isolated on white background.
SCC CAREER OPPORTUNITIES
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. Administrative Assistant
  2. Program Assistant
For more information, please contact the Suffolk Care Collaborative.