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January 2017
January Edition at a Glance

In this month’s edition, you’ll find an update on a planning grant recently awarded to the S2AY Rural Health Network to support community-based organizations (CBOs) in their readiness to work with performing providers systems (PPSs), as well as an article recently appearing in In Good Health featuring CCSI’s cultural competence team, who help explain how cultural knowledge impacts health outcomes. We also share information about a new initiative we’re teaming with the Monroe County Department of Human Services on to support their goal of becoming a trauma-informed DHS. You’ll also find links to upcoming webinars, project and program news, and other resources. 


System Transformation
DOH Community Based Organization (CBO) Planning Grant for Upstate New York Awarded to S2AY Rural Health Network in Corning

S2AY Rural Health Network in Corning has been awarded a $2.5 million DOH grant to support Upstate New York Community Based Organization (CBO) readiness to work with their regional Performing Provider Systems (PPS). CCSI worked closely with S2AY in the development of the grant application and will function as the lead consultant as technical assistance, in areas such as contracting practices, IT and performance measurement is provided. The twelve month grant begins in February of this year.

The CBOs that can directly participate in the grant are non-profit community-based social and human service providers that do not bill Medicaid and have budgets less than $5 million.  Examples of eligible agency types include: Housing, social services, food banks and religious or faith based organizations. If you are aware of any agencies that qualify and might be interested in participating, please ask that they contact either Hillary Anderson ( HBAnderson@stny.rr.com ) at S2AY or John Lee (jlee@ccsi.org) at CCSI..



Cultural Competence and Health Literacy
Better Cultural Knowledge = Better Health Outcomes
Health Organizations are Slowly Learning the Importance of Cultural Competence

CCSI’s Cultural Competence Team was featured in the December issue of “In Good Health” a Rochester healthcare publication, explaining why it is essential for healthcare providers to have an understanding of their patients' cultures and backgrounds in order to provide their best quality services . In the article “Better Cultural Knowledge = Better Health Outcomes, ” the concepts of culture and cultural competence are defined, highlighting the importance of how culture influences beliefs and belief systems surrounding all aspects of health and healthcare. Cultural competence - having respect, knowledge and effectively responding to individual needs using a cultural lens - is essential to engaging patients and improving outcomes. Learn more about how cultural knowledge impacts health outcomes by reading the article on page 8, in the December issue of "In Good Health." 

Trauma Informed Systems and Other Practice Transformations
New Initiative with Monroe County DHS to Become Trauma-Informed

There is growing awareness that trauma is pervasive and that the impact of trauma is often deep and life shaping. Trauma and toxic stress are often at the center of a person's mental health challenges, substance use, physical health issues and/or involvement with the justice system. This means, whether or not it is fully recognized, staff in DHS are working with survivors of trauma. Recent funding from the Wilson Foundation and the Community Foundation is being provided to support the training and implementation supports needed to help the county achieve its goal of becoming a trauma-informed DHS. 

Creating a trauma-informed system requires not only understanding the impact of trauma, but implementing changes in service delivery that align with the five core principles of trauma-informed care: safety, trust, choice, collaboration, and empowerment. Furthermore, a trauma-informed system recognizes and attends to the needs of both the recipients of services, as well as the staff. Both staff and system partners would be healthfully affected by implementing this approach.

CCSI will provide "Trauma 101: Overview Training,"  to DHS staff, which covers the essential elements of a trauma-informed system and how that understanding can be applied to daily practice within various settings served by DHS and its partners. While the training will provide a solid overview of trauma and trauma-informed care, additional coaching and continuous quality improvement is necessary to result in sustained practice change. To support implementation, CCSI will work with a core group of diverse staff who will become the internal change agents - Trauma Champions. The project will be supported with an evaluation to assess the implementation of a trauma-informed system. 


Performance Measurement


Why is Demonstrating Impact Important?
This one hour webinar provided an overview of the work being done within the New York State healthcare delivery system to move to Value Based Models of payment and what this change means to providers. It was designed to help organizations in understanding how they can prepare for these changes by using data to demonstrate impact. In addition, the webinar included information about best practices for interpretation and making use of collected data, how to align with NYS outcomes, and planning for strategic use of data to make informed decisions and improve services. 

Presenters: 
John D. Lee, MBA - Director | CCSI, The Center for Collaboration and Community Health

Briannon O'Connor, PhD - Associate Director | CCSI, The Center for Collaboration and Community Health 

Click Here to View
  To view any archived webinar, visit:
http://www.ccsi.org/The-Center
   

Financial Services and Fiscal Business Practices

Consolidated Fiscal Reporting (CFR) Training Opportunity

It’s that time of year again when finance staff start thinking about the Consolidated Fiscal Report (CFR) due in May. The CFR report serves as a very important tool for NYS, and there are many new significant software and reporting changes this year. It is crucial for providers to submit accurate and timely reporting because of its significance, as well as NYS’s renewed vow to impose penalties for late submissions.

CCSI has been providing CFR training to counties and agencies across NYS for over 15 years, and we are again offering this opportunity to those interested in broadening their knowledge of the CFR. Our training is geared toward both CFR preparers who have little experience preparing reports and to those experienced users who would like to stay up-to-date with current guidelines and regulations.  Our team of experienced CFR preparers can provide half-day or full-day sessions for attendees. Training can be provided at CCSI offices in Rochester, on-site at the county or at an individual agency. A limited number of 2016 CFR trainings are being scheduled for February and March. Sign up for the introductory webinar below and if you are interested in more in-depth training, please contact Jim Monfort at jmonfort@ccsi.org.




Center for Collaboration In Community Health Webinar Series

February Webinar - Consolidated Fiscal Report (CFR) 101: What you should know!

An introductory training for directors, leadership and new staff around NYS’s Consolidated Fiscal Report (CFR). Participants will learn about this NYS year-end cost report used for reporting revenue, expense, and units of services for provider service programs related to NYS Mental Health, Alcohol and Substance Abuse, People with Developmental Disabilities and State Education Dept. We will discuss what it is, what it is used for, what information goes into it, and how important it is to your agency for the past, present and future.

Presenter:  
Jim Monfort - Senior Consultant, Manager of Financial Services, Coordinated Care Services, Inc.

Date and Time: 
February 8th, noon-1:00


Click Here to Register!

For LGU's 

LGU Mental Hygiene Medicaid Administrative Costs Claiming Update

The Center for Medicare & Medicaid Services (CMS) has approved the LGU Medicaid Administrative Costs claiming process.  As we have just submitted Q1 2016 in December, NYMHRMTS has just released the remaining “catch-up” cost report dates:




Social Determinants of Health
“Walk in My Shoes” Poverty Simulation Offers First-hand Experience of Widespread Issue

CCSI recently conducted a poverty simulation (Walk in My Shoes) in Livingston County hosted by the Livingston County Department of Health, in conjunction with the Genesee Valley Health Partnership. 112 people from various organizations, agencies, schools and businesses participated in the three hour simulation. CCSI conducted a debriefing session at the conclusion of the simulation. Livingston County Department of Health and many of the participants in the simulation plan to continue the discussions about the realities and effects of poverty and work with local organizations, churches and schools to develop strategies to improve the lives of those who live in impoverished households.

To read the article and to learn more about this eye opening experience, including how you may schedule a simulation in your community,  click here.
CCSI Navigators Continue to Enroll Individuals in Health Insurance through The New York State of Health 
CCSI’s Navigator Program continues to be one of the top performing Navigator programs in New York State. According to the New York State Department of Health, CCSI’s program was ranked #1 among all lead agencies in NY for Applications per Full Time Equivalent in October 2016. The CCSI Program’s quartile ranking has been in the 1st quartile since 11/1/15 which is the highest productivity Navigator agency grouping. The quartile ranking is based on scores from the following:
  • Individuals determined eligible
  • Individuals enrolled in coverage
  • Number of applications on dashboards
To schedule an appointment with a member of CCSI's IPA / Navigator team, please call our  appointment line at (585) 613-7662  or visit our website  http://www.ccsi.org/Programs/Navigator-Program

Funded by the New York State Department of Health, the CCSI IPA / Navigator program provides one-on-one assistance for individuals and small businesses interested in shopping for and enrolling in health insurance through  The New York State of Health - the Official Health Plan Marketplace .

Open enrollment for 2017 coverage began on November 1, 2016, and continues until the end of January. New York State of Health has not released an enrollment report as of early January, but on December 15, they announced that 55,000 people had enrolled in the three preceding days. But New York officials report that 2017 coverage is still 55% less expensive (adjusted for inflation, and before any subsidies are applied) than it was in 2013, and the market is much more robust than it was pre-ACA in terms of carrier participation. Source: https://www.healthinsurance.org/new_york-state-health-insurance-exchange/
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