May 19, 2017

Please join us in promoting and bringing awareness to the SCC's Promoting Asthma Self-Management Program (PASP). The objective of this program is to implement an asthma-management program including home environmental trigger reduction, self-monitoring, medication use and medical follow-up to reduce avoidable emergency and hospital care.   All three Hubs of the SCC,  Stony Brook Medicine, Northwell Health and Catholic Health Services,  participate in this county-wide initiative.

The Asthma Home Environmental Trigger Assessment Service is free for patients insured by Medicaid who need help to maintain asthma control and/or are "at risk" for an asthma-related hospitalization. Upon identifying a patient or family in need of home visitation services, the provider must complete a referral form, which can be found on the SCC website.  Once a family is referred, they are matched with a health worker based on cultural and geographical characteristics. Health workers meet with the patient at their home and at their convenience.

The health worker can assist the family and patient by:
  • Providing the patient and family with asthma related information and materials
  • Ensuring that the patient has an updated copy of their Asthma Action Plan
  • Conducting asthma trigger environmental evaluations in the home
  • Providing education materials, personalized medication logs, spacers, masks, mattress and pillow dust covers (as needed)
For more information or to refer a patient to the PASP, visit our  website.
May 14-20 is the Annual Health Observance to Increase Public Awareness of Mental and/or Substance Use Disorders 

What is National Prevention Week?
National Prevention Week is a Substance Abuse and Mental Health Services Administration (SAMHSA) sponsored annual health observance dedicated to increasing the prevention of substance use and promotion of mental health. The observance brings individuals, organizations, coalitions, states, and communities together through local events to raise awareness about the importance of preventing substance use and mental disorders.

The three primary goals of National Prevention Week are to:
  • Involve communities in raising awareness about behavioral health issues and implementing prevention strategies
  • Foster partnerships and collaboration with federal agencies and national organizations dedicated to behavioral and public health
  • Promote and disseminate quality behavioral health resources and publications
Why Does National Prevention Week Occur in May?
National Prevention Week is held each year during the third week of May, near the start of summer, an important time for school, communities, and prevention professionals to re-focus on prevention! Adolescents and full-time college students most often use substances for the first time during June or July, according to SAMHSA National Survey on Drug Use and Health (NSDUH) data on adolescents - 2012 (click  here for this report) and NSDUH data on full-time college students - 2015 (click here for this report.)   The timing of National Prevention Week provides an opportunity for schools and organizations to host prevention-themed events before the school year ends, raising awareness about this important issue among students and their families. These are key periods of social transitions, a risk factor for youth substance use, and an opportunity to develop or strengthen the community, school, and family bonds that protect young people from substance use.    

Visit SAMHSA's website to learn more about National Prevention Week. 

The April 2017 version of the Medicaid Update, published May 2, 2017, contains information related to reductions to the Patient Centered Medical Home (PCMH) incentive payment program. These reductions were in accordance with the 2017-2018 State Budget.  A summary of changes, effective July 1, 2017, are listed below. 
  • Medicaid Managed Care (MMC) and Fee for Service (FFS): Incentive payments will no longer be given to practices who are recognized at PCMH 2011 standards.
  • MMC: Per Member Per Month (PMPM) payments for PCMH 2014 Level 2 providers will be $3, and $7.50 for PCMH 2014 Level 3 providers.
  • FFS: Add-on payments for PCMH 2014 Level 2 and Level 3 providers remain the same. 
Note:  Providers who achieve NCQA PCMH recognition under NCQA's redesigned version released in April 2017 will receive payments equivalent to NCQA 2014 Level 3 standards.
Primary care providers are encouraged to advance to higher levels of practice transformation. A goal of the DSRIP program is for all primary care providers to achieve PCMH 2014 Level 3 or  APC recognition by March 31, 2018.  
The full Medicaid Update article is available by clicking here.   Any questions should be directed to
Community word cloud with magnifying glass, concept
Bi-weekly spotlights highlighting opportunities for community engagement throughout Suffolk County

Each month Sara Turnasell, Registered Dietitian, at Jason Family ShopRite of Patchogue hosts store events such as cooking classes, lectures, demonstrations and tastings, as well as fun community and school events.  Click here for the May calendar of events. 

Saturday, June 10, 2017, 10 am to 4 pm.  Breakfast and lunch will be served
Camp Pa-Qua-Tuck, Center Moriches
Those who served, and those who supported them in their service, have an opportunity to experience various holistic alternatives for achieving and maintaining personal wellness. 
Click here to register.  

Presented by South Country Library and COMPASS Unity
For adults and parents with students age 15 and above.
Discussion will focus on how to recognize heroin and prescription drug abuse and what actions community members can take.  Optional Narcan Training and free take-home kit.
June 7, 6:30 - 8:30 pm 
South Country Library, 22 Station Road, Bellport.  Click here for flyer.  

Please visit our Community Engagement page  for an entire list of upcoming events and resources.

Amanda Chirco, Project Manager for Community Health Initiatives, Project Management Office

As the new Project Manager for Community Health Initiatives, Amanda will be overseeing our Community Health Activation Program and  Promoting Asthma Self-Management Program.   She joins us from the Health and Welfare Council of Long Island (HWCLI) and has been a part of our DSRIP Community Health Activation Program efforts.  

Amanda brings many years of experience in overseeing community programs through grants and extensive knowledge of public health programs and healthcare reform. Most recently Amanda managed the HWCLI's health and nutrition programs and acted as a program representative to the community, clients and partner organizations. Amanda's most recent role also included maintaining the organization's advocacy agenda. As an Outreach Specialist, Amanda planned enrollment events, presentations and educational workshops for consumers, funders and advocates - a skill set that will certainly support the growth of our Community Health Activation Program.  Further, Amanda's background also includes client/consumer services as a Health/Nutrition Facilitated Enroller.  She guided clients in accessing health insurance and nutrition program options as well as maintained relationships with enrollment sites and helped to create new sites based on community need.  Amanda received a Masters of Education in International Educational Development from Boston University and received a Fulbright Scholar Award offering an English Teaching Assistantship in Hamburg, Germany.  
University at Albany Selected

Per the Centers for Medicare and Medicaid Services (CMS) DSRIP program and Department of Health (DOH) procurement requirements, the University at Albany (UAlbany) has been selected to be the Independent Evaluator (IE) of the DSRIP program.  The University's School of Public Health's Institute for Health System Evaluation (IHSE) will lead the efforts in coordination with the UAlbany's Center for Human Services Research (CHSR) and Econometrics Research Institute (ERI); the Boston University School of Public Health; and the University of Maryland School of Public Health.
The independent evaluation contract is a 5 year multi-method, comprehensive, statewide independent evaluation designed in accordance with the CMS-approved DSRIP Special Terms and Conditions (STC). Within a five-year time-period concluding early 2021, the evaluator will use implementation/process studies, comparative analysis, and a time series design method. The team will evaluate whether the DSRIP initiatives have achieved desired impact, effectiveness, cost savings and value improvements using a pre-post design.   
Much of the quantitative data will be collected over pre-existing data channels and will require no new collection from the PPS entities.  However, qualitative or process/implementation data collection will require input from PPS staff and other DSRIP stakeholders. PPS staff will be interviewed at three intervals with key initial interviews beginning this summer 2017. PPS executives and senior leadership will be interviewed twice (summer of DY3 for look -back activities that occurred in DY0-DY2 and then re-interviewed in DY5 for look back activities that occurred DY3-DY5.) PPS Project lead staff will be interviewed once in DY4. Additionally, PPS staff will be involved as the evaluation process gathers data from the DSRIP associated providers and community partners through focus groups and surveys also beginning later this year. Lastly, the PPS staff may also be asked to coordinate some logistics for the patient surveys which will be done annually during DY3-DY5.
The DSRIP independent evaluation will produce an interim report in 2019 and a final report in early 2021.   The Independent Evaluation (IE) team looks forward to your cooperation and consideration while working with all stakeholders throughout the various research methods and timeframes.   A further introduction of the IE is anticipated at the next All PPS Meeting.
Dr. Diane Dewar is the principal investigator of this evaluation. Dr. Dewar is the Director of the Institute for Health System Evaluation (IHSE), an associate professor in UAlbany's Department of Health Policy, Management and Behavior in the School of Public Health and the Department of Economics. For more details on the IE research objectives and questions, please visit the DOH website  or contact Dr. Dewar by calling (518) 402-0370 or email
PPS SPOTLIGHT:  Finger Lakes Performing Provider System (FLPPS)
May's "DSRIP Digest" Feature
In this month's "DSRIP Digest" Jason Helgerson, NYS Medicaid Director, described DSRIP year 3 and said,  "The DSRIP year 3 theme is 'design the platform for constant design.'  What we mean by this is that the Performing Provider Systems that are being created in communities across this state need to be not only designed to meet the needs of the community today to achieve the immediate goals of the initiative, but actually be designed so they can constantly evolve and innovate. The environment in which they work will constantly be changing. The challenges that they see today will not necessarily be the challenges of the future, and they need to constantly be evolving. That means the platform has to be nimble. It has to evolve with time. That's why it's important that we build the infrastructure in ways that allows for constant design."

To further highlight that theme, May's "DSRIP Digest" newsletter featured the design and work accomplished by Finger Lakes PPS for their DSRIP Transitional Supportive Housing project.  This project served as a catalyst for collaboration between two regional health systems and a community-based housing provider to create a seamless continuum of care that reduces costs and improves outcomes.  In a short time, the partnership has demonstrated a significant impact, including over 60% of medical patients and 80% of psychiatric patients transitioned to permanent housing, a 30X cost savings to Medicaid, reduced hospitalizations and improved quality of life and health outcomes for individuals.  To read more about this partnership visit FLPPS website .  The full article can be found  here. 

The "DSRIP Digest" newsletter  also features recent news from the DSRIP program; previous newsletters can be found here.   
May 31, 2017, Deadline to Participate

The New York Medicaid Electronic Health Record (EHR) Incentive Program pays New York 
providers who demonstrate that they have adopted and implemented a certified EHR system. The program's financial incentives are given to practices to provide financial support for the adoption of an EHR system. Providers are eligible to receive $21,250 for completing Meaningful Use (MU) Stage 1 by attesting they have adopted, implemented, and/or upgraded (AIU) and demonstrated MU of certified EHR technology. After AIU, sites can attest to MU Stage 2 to receive $8,500 per provider every year until 2021. However, 2017 is the last year for providers to participate and the deadline is May 31, 2017.  Primary Care Development Corporate (PCDC) can assist facilitating MU attestation.  You can find out more information about their services by contacting Dane K. Ligoure at PCDC, by phone at 212-437-3926, or email,  

The Department of Health (DOH) has released another video in their whiteboard series. This video is entitled, "Value Based Payment (VBP) and The Year Ahead."  NYS Medicaid Director, Jason Helgerson, gives an overview of the progress made to date on VBP, including an update on the percent of Medicaid payments that are currently value based. He also describes ways to move into VBP arrangements and what is next for VBP in the year ahead.  To view the video, click here.  To learn more about Value Based Payment, visit the DOH website .

The NYS Department of Health hosted a webinar on the 2017-2018 Global Cap Enacted Budget on April 28, 2017.  The briefing focused on the Medicaid-specific components of the enacted budget (more information available here.)  The webinar materials are available on the MRT website
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. Care Manager
  4. Data Visualization Analyst
  5. Social Worker
  6. Community Health Associate
  7. Data Acquisition Specialist
  8. Performance Management Program Assistant
For more information, please contact the Suffolk Care Collaborative.