OneCity Health Master Partner Data Survey Webinar March 2016

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1 1 OneCity Health Master Partner Data Survey Webinar March 2016

2 Agenda 2 Data Survey Purpose OneCity Health PPS Overview Data Survey Components o DSRIP Projects Partner Eligibility Payment Amounts Invoice Process Timeline Technical Support Questions

3 Master Partner Data Survey Purpose 3 OneCity Health is conducting this Master Partner Data Survey (Data Survey) to: o Update and supplement the Partner Readiness Assessment Tool (PRAT) to ensure accuracy and completeness. The PRAT was completed by partners during Spring/Summer 2015 o To provide critical information that is needed for future funds flow and the development of a comprehensive Schedule B for the next phase of project implementation o Collect information required by the New York State Department of Health (NYSDOH)

4 DSRIP OneCity Health PPS Overview 4 The Delivery System Reform Incentive Payment (DSRIP) program is a 5 year, performance payment based program with primary goal of reducing avoidable hospital use by 25% over 5 years The OneCity Health Performing Provider System (PPS) is the largest in NYS, the only public hospital led PPS in NYC, and serves one of the most diverse populations in the State We seek to change the way we deliver health and social services for all New Yorkers. Our planning efforts are intensive and lay the foundation for understanding each partners contribution to health and well being Our strategy is to build upon NYC Health + Hospitals strengths and infrastructure, while partnering (contracting) for expertise and capacity in primary care, social services, and other clinical services

5 OneCity Health PPS Overview Network 5 ~ 290 Partners, ~1,100 Sites and ~12,000 Providers Manhattan Inpatient/Hospital 3 Primary Care 69 Outpatient BH 78 Long Term Care 26 Pharmacy 16 Social Services/CBOs 132 Bronx Inpatient/Hospital 3 Primary Care 36 Outpatient BH 50 Long Term Care 39 Pharmacy 21 Social Services/CBOs 99 Brooklyn Inpatient/Hospital 4 Primary Care 51 Outpatient BH 58 Long Term Care 36 Pharmacy 16 Social Services/CBOs 91 Queens Inpatient/Hospital 2 Primary Care 43 Outpatient BH 60 Long Term Care 19 Pharmacy 16 Social Services/CBOs 61 Number of sites providing service, by borough, according to OneCity Health Partner Readiness Assessment Tool

6 Master Partner Data Survey Components 6 Key components of the Data Survey include: o PRAT survey: components for validation or completion o Site level questions: information regarding provider category types, contact information, etc. o Project selection based upon services provided by each partner (note, all partners are required by NYSDOH to participate in the Integrated Delivery System (2.a.i) project) Partners that have not yet completed the OneCity Health Financial Health Assessment will be required to do so Partners eligible to receive Patient Centered Medical Home (PCMH) recognition must complete the OneCity Health Behavioral Health Survey if they have not yet done so

7 DSRIP Project Descriptions 7 DSRIP Project/Care Model Integrated Delivery System Care Transitions (Readmissions) ED Care Triage for At Risk Populations Integration of Primary Care + Behavioral Health Services Project Description Create an integrated, collaborative and accountable service delivery system across the continuum of care Part of integrated care management strategy Provides a supported transition period for patients being discharged from inpatient setting who have high risk of readmission Part of integrated care management strategy Strengthens primary care linkage for patients seeking care in Emergency Departments (ED) Uses short term care management to support high risk patients in transition to outpatient services Promote coordinated, accessible behavioral health and primary care to patients with behavioral health (BH) conditions Three models: IMPACT/collaborative care in the primary care setting; co location of primary care into behavioral health sites; colocation of behavioral health into primary care sites Initial Target Population All patients Patients hospitalized in OneCity Health acute hospitals at high risk of readmission as determined by risk factors, referral criteria, and/or data algorithms For link to primary care, all patients treated and released from ED For link to care management, high risk patients who meet referral criteria Patients requiring outpatient care for BH problems ranging from undiagnosed BH disorders to patients with severe and complex BH needs ** Executive summaries of each care model are located in the appendix

8 DSRIP Project Descriptions Continued 8 DSRIP Project/Care Model Health Home At Risk Project 11 Cardiovascular Disease Management Project Description Part of integrated care management strategy Care management access for high need patients who do not qualify for NYS Health Home Initial focus to strengthen coordination between primary care teams and Health Home staff Outreach to uninsured and low/non utilizing Medicaid populations to engage people in health care, including linkage to insurance and primary and preventive care services Support primary care excellence in cardiovascular health through: aspirin use; blood pressure control; cholesterol management; and smoking cessation Support patient self management of cardiovascular health Asthma Provide clinical care consistent with national standards Screen and refer patients for home based services including: enhanced self management education; home environmental evaluation and strategies for remediation; and linkages to needed social services. Initial Target Population Patients with single chronic disease at risk of worsening health; patients requiring care management ineligible for other programs (e.g. uninsured) Uninsured and Medicaid nonand low utilizers of health care Patients with or at risk for cardiovascular disease Pediatric patients with uncontrolled asthma ** Executive summaries of each care model are located in the appendix

9 DSRIP Project Descriptions Continued 9 DSRIP Project/Care Model Integration of Palliative Care HIV Project Description Integrate skills from palliative care into primary care practices including counseling on advance directives, symptom management, and management of patients with advanced illness Promote pre exposure prophylaxis (PrEP) programs to prevent HIV in high risk patients Strengthen universal screening programs with linkage to care Improve medication adherence and treatment quality through initiatives including peer support, cultural competency, electronic alerts for virology results, and social marketing Initial Target Population Adult patients for counseling on health care proxy completion Advanced illness management and symptom management with primary care patients Patients at high risk for contracting HIV Patients with HIV ** Executive summaries of each care model are located in the appendix

10 Master Partner Data Survey The Data Survey is an Excel based tool that contains 7 sections for partners to complete o System Information o System Structure o Site Information o Provider Types & Services o Project Selection o Financial Assessment o PC BH Survey The first five sections are required for all partners, while the last two are only required if they have not previously been completed

11 General Data Survey Guidelines 11 Partners will need Excel 97 or newer to complete the Data Survey If the text appears too small or blurry when you open the file, please check your zoom settings in the bottom right of Excel When returning the completed Data Survey to OneCity Health PPS, please us the following naming convention: DataSurvey_System Name Example: DataSurvey_HealthandHospitalsCorporation

12 1. System Information 12 A single primary System NPI and/or MMIS should be provided. If your system has multiple primary NPI or MMIS numbers, please contact OneCity Helath to accommodate this response Questions asking for a number are restricted to a specific number of characters

13 2. System Structure 13 The individual completing the Data Survey will need to attest to the information being accurate All information should be reviewed in detail for completeness and accuracy If the information in this slide is determined to be inaccurate or incomplete, please contact OneCity Health before completing any other section of the Data Survey

14 3. Site Information 14 Partners should complete ALL questions for each of their sites listed If the text appears too small or blurry, please check the Excel zoom settings in the bottom right of the screen

15 4. Provider Types & Services 15 Partners should complete ALL questions for each of their sites listed Partners should reference the Provider Subtypes Definitions on the OneCity Health webpage before completing this section

16 5. Project Selection 16 Partners should complete ALL questions for each of their sites listed Partners should reference the Project Description reference documents available on the OneCity Health website prior to completing this section By virtue of signing a Master Services Agreement with OneCity Health, all Partners agree to participate in project 2.a.i Integrated Delivery System

17 6. Financial Assessment & 7. PC BH Survey 17 These sections are only required for those Partners who have not previously completed these surveys. The instructions on each tab will inform you if the section needs to be completed.

18 Partner Eligibility for Data Survey and Contracting 18 This Data Survey is for OneCity Health partners that provide direct clinical and social services in the Bronx, Brooklyn, Manhattan and/or Queens Eligible partners will receive a Master Partner Data Survey Schedule B detailing partner obligations and payment associated with completing the Data Survey. A Master Services Agreement (MSA) must be signed first. The MSA and Schedule B must be signed by May 31, 2016 to be eligible for payment for completion of the Data Survey If you have not yet signed an MSA, that should be your immediate next step Master Services Agreement (MSA) Schedule B Partner Contract

19 Payment Amounts for Completing Survey 19 Eligible partners will be compensated financially for completing this Data Survey Partners will receive a payment in one of three tiers. Tiers were determined by the number of sites associated with the partner based on currently available data. o Tier 3 $1,600 (for partners with up to four sites) o Tier 2 $3,200 (for partners with five to 15 sites) o Tier 1 $6,400 (for partners with 16 or more sites) Partners will be informed of their payment tier upon receipt of Schedule B Master Partner Data Survey

20 Invoice Process 20 Payment invoice can be submitted upon submission of the Data Survey Required documentation for payment o Completed Data Survey o Data Survey invoice on OneCity Health form o Contact Verification form o Electronic Funds Transfer Enrollment form (if enrolling) o (forms will be provided via and available on the OneCity Health website on April 4) invoices to: o Datarequest_DSRIP@nychhc.org

21 Timeline for Distribution and Submission of Data Survey 21 Monday, April 4, 2016: Data Survey and Schedule B released Thursday, April 14, 2016: Deadline for partners to request clarification on Data Survey and Schedule B Monday, April 18, 2016: Deadline for partners to submit completed Data Survey to OneCity Health at Datarequest_DSRIP@nychhc.org Thursday, May 31, 2016: Deadline for partners to sign Master Services Agreement (MSA) and Schedule B

22 Technical Support 22 Office hours to call in with questions o Thursday, April 07, a.m. 1p.m. o Tuesday, April 12, a.m. 1p.m. o Friday, April 15, a.m. 1p.m. o See OneCity Health website for call in details questions to: o Datarequest_DSRIP@nychhc.org

23 Questions 23 Please type your questions in the chat.

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