July 19, 2018
Left to right from SCC:  Althea Williams, MBA, Director, Community and Practice Transformation; Sofia Gondal, MA, & Lindsey Clark, MS, Community Engagement Liaisons

On June 14, 2018, the SCC held its quarterly Project Advisory Committee (PAC) meeting featuring a full agenda and informative presentations from SCC staff members and partners.  The agenda kicked-off with SCC's Althea Williams, MBA, Director, Community and Practice Transformation, giving an overview of New York State's Patient Centered Medical Home (NYS PCMH) recognition program and SCC's practice transformation achievements.  She also explained the path to NYS PCMH recognition and the various ways practices can transform and achieve recognition.  

SCC's Community Engagement Liaisons, Lyndsey Clark, MS, and Sofia Gondal, MA, provided community engagement and resource updates.  Lindsey gave a live demonstration of SCC's Community Engagement Webpage and encouraged the audience to explore and share these resources with their clients and colleagues.  The website features a variety of resources including health education materials, community calendar, digital bulletin board, health resources and Greater New York Hospital Association's HITE Resource Directory, a directory of health and social services across NY City and Long Island.  Lindsey also introduced a new community guide developed to educate the community about Regional Health Information Organizations (RHIOs).  Sofia spoke about the Community Based Organization Value Based Payment (VBP) Survey that was due June 30, 2018.

Elizabeth Galati, MA, Director of Strategic Partnerships and Resources Development; Jason Vandewater, Director of Clinical Services both from Federation of Organizations
Elizabeth Galati, MA, Director of Strategic Partnerships and Resources Development, and Jason Vandewater, Director of Clinical Services, from Federation of Organizations, presented on their participation in the 
Medicaid Accelerated eXchange (MAX) Series and described their successes in reducing unnecessary hospitalizations and readmissions in the behavioral health population.  Their efforts were supported by Susan Jayson, LCSW, SCC Director of Behavioral Health Integration.  

Douglas Kronenberg, Practice Administrator, at East Hampton Family Medicine, presented on his organization's Lean training and performance improvement project targeted at improving diabetes care for their patients.  Lean training was conducted by Alan Cooper, PhD., President, Tudor Advisory Group, Inc., and supported by the SCC.  Their project resulted in new workflows and initiatives that have increased efficiency and are on track to surpass diabetes care goals for 2018.
Alan Cooper, PhD, Tudor Advisory Group, Inc; Douglas Kronenberg, Practice Administrator, East Hampton Family Medicine

A performance update was presented by Kevin Bozza, MPA, SCC's Chief of Operations, VP, Population Health Management Services and included statewide PPS performance goals and SCC performance results.  He also highlighted the performance improvement initiatives for Measurement Year 5, which began July 1, 2018.

For the PAC meeting presentation, visit SCC's website here.  To view the video from the meeting, click here.
Results of Medicaid Redesign Efforts to Improve Patient Care Statewide, Yielding Measurable Reductions in Avoidable Hospital Use

The New York State Department of Health announced that through the Medicaid Accelerated eXchange ("MAX") Series, avoidable hospital use for the state's most vulnerable patients has been significantly reduced. Since its launch in 2015, the MAX Series has been an integral part of the Department's strategy toward successfully achieving Delivery System Reform Incentive Payment (DSRIP) goals.
The objective of the MAX Series is to empower hospital and community partners in their care redesign efforts, increase patient and workforce satisfaction and reduce avoidable hospitalizations. More than 900 professionals from 68 hospitals and 11 community-based practices from around the State have participated in the MAX series to date, and early results among teams are showing an 18 percent reduction in hospital readmissions and an 8 percent reduction in hospitalizations overall.
"Under the leadership of Governor Cuomo, our Medicaid redesign efforts are constantly increasing the efficiency of the healthcare system, resulting in improved outcomes and cost savings for New Yorkers," said New York State Health Department Commissioner Howard A. Zucker, MD.  "The Max Series is yet another example of our use of innovative techniques to use data and multi-disciplinary cooperation to transform healthcare delivery in New York State."  To read the full press release, click here.  
From the Center for Disease Control and Prevention

Planning your trip carefully is smart; preparing for it is even smarter. You can do a lot now to make sure you can relax and enjoy yourself when you get where you're going.

Read the Center for Disease Control and Prevention's latest feature for tips on safe and smooth travel, whether by plane, train or automobile (or cruise ship). Here's a sample: did you know people with diabetes are exempt from the airlines' 3.4 oz. liquid rule for items related to diabetes care?  That's right!  Check out the other  20 tips  for more fun and less stress while you're seeing the sights.
Suffolk County Community College

Suffolk County Community College's Office for Continuing Education, in conjunction with the TechHire grant from the U.S. Department of Labor, is offering two opportunities to earn credentials.  These workforce programs have no tuition costs for eligible individuals ages 17-29.  

Online Health Information Technology Program
This program will introduce health care delivery transformation and use the electronic health record (EHR) to prepare participants for employment in the changing health care environment.  Upon completion of the program, eligible students may sit for the Certified Associate in Health Information & Management Systems (CAHIMS) examination, a nationally recognized credential.   Click here for the Admission Application.  Informational flyer can be found here .

Career Development Bootcamp
Students will participate in classroom and online instruction to develop career skills and is targeted to those who have graduated from high school but not yet attending college.  This course is designed to prepare students with practical knowledge, strengthen time management and organizational skills and expose students to health information technology applications.  Upon successful completion, students will earn a National Workforce Readiness Credential.  For immediate consideration, complete the attached form.

For further information about these programs, please contact Andrea Dunkirk at 631-451-4552 or email dunkira@sunysuffolk.edu.  

August provides an opportunity to promote health and wellness awareness.  Below are resources to help community leaders and healthcare providers start planning ways to communicate, educate and involve the community they serve.

National Immunization Awareness Month is a great time to promote vaccines and the need to stay up to date on shots.  U se this month to raise awareness about vaccines and share strategies to increase immunization rates in your community.   Here are just a few ideas:
  • Talk to friends and family members about how vaccines aren't just for kids. Shots can protect people of all ages from serious diseases
  • Encourage people in your community to get the flu vaccine every year
  • Invite a doctor or nurse to speak to parents about why it's important for all kids to get vaccinated
Visit the US Office of Disease Prevention and Health Promotion website for additional ideas and more information.
Community word cloud with magnifying glass, concept
Bi-weekly spotlights highlighting opportunities for community engagement throughout Suffolk County

Community members are invited to join the Community Consumer Advisory Council, which gives an opportunity for community members, leaders and health care providers to meet to talk about health programs in your neighborhood.
Council meetings take place four times throughout the year in the evening.  If you are interested email CommunityEngagement@stonybrookmedicine.edu.

Summer can bring many happy memories - family vacations, summer camp, days at the shore, staying up late and watching the sun set.  No matter what your summer traditions include, be sure to keep in mind heart and brain health throughout the longer daylight hours.  Click here for list of  American Heart Association and American Stroke Association's top 10 tips for a heart-healthy summer.

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.

If you would like to promote special events in recognition of National Immunization Awareness Month on our Community Bulletin Board or newsletter, submit them here.  

Please visit our Community Engagement page  for our calendar of events and  resources.

Save the date for an upcoming Cultural Competency and Health Literacy (CCHL) Master Training Program.  Master trainers will   receive a certificate of completion to be able to lead 2 hour CCHL training sessions for workforce professionals and   7.5 hour master training sessions.  
Next Master Training sessions:
Tuesday, September 25, 2018, 8:30 am - 5:00 pm
Tuesday, November 13, 2018, 8:30 am - 5:00 pm

For details about the program, click here.

Free health screening programs  provide preventive health screenings and education to members of medically underserved communities on Long Island.   Healthy Sundays addresses prevalent medical conditions - such as obesity, diabetes and hypertension - to improve quality of life while decreasing morbidity and mortality.  Free blood pressure and body mass index screenings, as well as flu shots, are administered throughout the year. Educational seminars are given in Spanish or English.


On June 7, 2018, Shanna Williams, SCC Project Manager, Practice Transformation, was honored and received an Alumni Achievement Award in Health Care and Human Services from St. Joseph's College.  

The special evening honored the accomplishments and unique contributions of alumni and faculty in health care, human services and nursing.   Shanna received a Bachelor of Science in Health Administration and was awarded an Academic Scholarship from St. Joseph's College to complete the Master in Business Administration (MBA) Healthcare Management Program. She completed both of her college degrees while working full-time and raising a family.  Shanna worked for a skilled nursing facility for 16 years as a unit receptionist and a medical adult daycare program assistant.  She later worked for an Accountable Care Organization (ACO), where she joined the practice transformation team as a Patient Centered Medical Home (PCMH) Facilitator, and ventured on to pursue an opportunity with a national known consulting firm in NYC, as a Performance Improvement Project Manager. 

Shanna joined the SCC team in September of 2017  as Project Manager, Practice Transformation.   Congratulations Shanna on all of your achievements! 

Kerri Beine, Program Assistant
Kerri earned her Bachelor of Arts in International Studies, with minors in Health Studies and Humanitarian Action from Fairfield University.  While completing her studies, she interned at Save the Children, an international non-governmental organization that serves, advocates and supports children in developing countries and also at Simply Smiles, a non-profit organization that provides a holistic approach in helping impoverished children, their families and their communities.  Kerri's research, project and grant writing experiences with the indigent population in these altruistic organizations led to her interest in the field of population health and with SCC.   Kerri will be supporting the many collaborative opportunities within the Integrated Delivery System program.

Deborah Grimaldi, Administrative Assistant  
Deborah joins SCC after most recently working with the Branford Hall Career Institute as Assistant Director of Admissions and then Registrar.  Prior to that she had acquired experience as Executive Assistant for both health care related entities as well as commercial organizations. 

Ankita Shah, Financial Operations Manager
Ankita earned her MBA from New York University's Stern School of Business and her Bachelor's from Stony Brook University.  With experience in business strategy and data analytics as well as a background in healthcare, Ankita brings a unique skillset to SCC.  She  will be leading the organization's financial operations.

New VBP Pilots Lessons Learned Webinar
On Wednesday, July 25, 2018, 2-3 pm, the NYS Department of Health, Office of Health Insurance Programs, will host a second installment in a series of Lessons Learned webinars from the VBP Pilot program.  The webinar will focus on data sharing and interoperability.  VBP Pilot participants, Greater Buffalo United Accountable Care Organization (GBUACO), will share their data sharing experience in the VBP Pilot program.

GBUACO Representatives will address the following topics:
  • Utilization of internal and/or external data sources
  • Technological lessons learned
  • Overcoming gaps in data
Future webinars will focus on CBO Collaboration, Quality Measure Testing and Stakeholder Engagement.  Register here for the July 25, 2018, webinar.

PACE VBP Quality Measure Set for Measurement Year 2018
The NYS Department of Health (NYS DOH) has released the Value Based Payment (VBP) Program of All-Inclusive Care for the Elderly (PACE) Quality Measure Set for Measurement Year 2018.  The purpose of this document is to make stakeholders aware of the VBP goals for the aforementioned Managed Long Term Care (MLTC) plan. This document can be found in the Quality Measure folder of the VBP Resource Library.   All questions can be emailed to  MLTCVBP@health.ny.gov .

SCC Adds Two New VBP Online Training Topics   
S CC has launched two new training topics in a VBP learning series for Primary Care Providers and practice staff, Behavioral Health Providers including Mental Health and Substance Use Disorder Providers and staff, and Community Based Organizations and staff, particularly focused on those who address social determinants of health.  

Value Based Payment Data & Analytics -- Clinical Ambulatory Services
Learning Objectives:
  • Increase provider knowledge and use of performance data to drive VBP quality, performance measures and adopt appropriate changes to practice patterns
  • Introduction to DSRIP and other relevant quality metrics (HEDIS, QARR)
  • Key considerations such as attributed lives, upside/downside risk management, panel management, impact on quality measures
  • Performance measurement and improvement
  • Introduction to the purposes of provider data exchange and analytics in creating new practice behavior
  • Introduction to individual/group practice performance scorecards/reports
Value Based Payment Data & Analytics -- Community Based Services 
Learning Objectives:
  • Increase provider knowledge and use of performance data to drive VBP quality, performance measures and adopt appropriate changes to practice patterns
  • Introduction to DSRIP and other relevant quality metrics (HEDIS, QARR)
  • Performance measurement and improvement
  • Role of Community Based Organizations (CBO) and required contracting under VBP
  • Types of CBO contracts and strategies for VBP to address Social Determinants of Health
These two new training topics are now available on the online Learning Center and can be accessed here

SCC's Learning Center provides education on VBP and other learning resources.  Click here for the learning module.  Click here for additional resources, including access to the VBP University, an online, educational resource created by the NYS DOH to raise awareness and knowledge in the move to 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.
The NYS Department of Health (DOH) has available a list of the designated children's providers for the new Children and Family Treatment and Support Services (formerly referred to as SPA services) and Aligned Home and Community Based Services.  The list is available here and can also be found on the DOH website.
The designation process remains open and providers may continue to apply to be designated.  The list will be continuously updated to reflect the addition of newly designated providers and for expansions in the array of approved services a provider may be designated to offer.  You may  send any inquires to the following mailbox: OMH-Childrens-Designation@omh.ny.gov .

The newest New York State Children's Health and Behavioral Health (BH) Services Medicaid Transformation Billing and Coding Manual can be accessed here.   The information contained in the billing manual, subject to required State and Federal approvals, reflects the billing structures for the Children's System Transformation scheduled to begin on January 1, 2019.  "To Be Decided" (TBD) Billing criteria will be updated by the State.  Future updates will only supplement current information, not change what is already in place.  You may  use this manual to begin preparation of your claiming systems. 
A supplemental billing manual, New York State Children's Health and Behavioral Health (BH) Services - Children's Medicaid System Transformation Guidance for the Transitional Period, will be released shortly that will include guidance on transitional billing procedures, including transitional billing procedures for waiver providers that will transition to Health Home rates and for HCBS services that will transition to State Plan services after January 1, 2019.

The NYS Department of Health announced that the Centers for Medicare and Medicaid Services (CMS) has approved the third annual update of the New York State Value Based Payment (VBP) Roadmap.
The VBP Roadmap update process incorporates feedback from key stakeholders throughout NY State's healthcare system as well as feedback from the public. It is through comprehensive stakeholder engagement that the New York State VBP Roadmap continues to evolve. The VBP Roadmap is intended to capture the current status of NY State's progress in transitioning to VBP, and also, will establish the framework through which VBP can be made possible.
Highlights from the recently approved version of the VBP Roadmap include:
  • Design for the Programs of All-Inclusive Care for the Elderly (PACE) program
  • Guidance related to use of quality measures for VBP
  • An emphasis on the role of Community Based Organizations (CBOs) and social determinants of health interventions while ensuring that interventions fall within 5 key social determinants domains
CMS's approval of the VBP Roadmap reaffirms that NY State's Medicaid program is leading the way for the nation in the shift towards value based payment and healthcare system transformation.   The year 3 VBP roadmap is now available on the DOH 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, Behavioral Health Services Integration
  2. Provider Relations Manager
  3. RN Care Manager
  4. Social Worker
For more information, please contact the Suffolk Care Collaborative.