INTEGRATED DELIVERY SYSTEM
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1 Phase III Comprehensive Schedule B Project Implementation Summary INTEGRATED DELIVERY SYSTEM Overview The Performing Provider System (PPS) Integrated Delivery System project promotes the creation of a coordinated health care network that will provide integrated, collaborative, and accountable health care services across the continuum of care based on population health needs. The objective of this transformation is to provide evidence-based, cost-efficient care, including a reduction in avoidable hospitalizations. The Integrated Delivery System will be foundational in supporting excellence and sustainability for all work done within the partner network. All OneCity Health PPS partners are expected to participate in the Integrated Delivery System project. The level of involvement in each of the key elements may vary depending on partner size and types of services provided. Key elements of an Integrated Delivery System include: Access to high-quality primary care Enhancement of community-based services, including behavioral health services Incorporation of community needs assessments into health services planning Quality improvement within health service delivery organizations Support for patient outreach and navigation Cultural competency Health information exchange Value-based financial incentives
2 Training Required: Training Resource Due Date NowPow Social Services Directory and Referral Platform training will be required before PPS partner account is activated NowPow Value Based Payment Training 0 Recommended: Learning Management System demo(s) and training(s) Cultural Competence and Health Literacy Meaningful-Use Certified Electronic Health Record Regional Health Information Organization (RHIO)/Health Information Exchange (HIE) Other (as described in the Supporting Materials) New York City Regional Electronic Adoption Center for Health (NYC REACH) New York e-collaborative Performance Metrics, Outcomes Measures and Reporting Partner Portal ID Metric Frequency Where To Report Due Date Process Metrics N_001 DocuSign and return NYC Health + Hospitals Vendor Demographics Form to Services within forty-five (45) days of the effective date. N_002 Complete the Financial Assessment survey as designed and administered by OneCity Health Services. N_003 Complete the Compensation and Benefits survey as administered by the vendor. N_004 N_005 Report the total number of staff hired, redeployed or retrained to complete DSRIP related activities in the Workforce Impact Survey as designed and administered by Services. Demonstrate successful completion of Value Based Payment training as administered by Services. Semiannually 2/23/2018 9/15/2018 2/23/2018 4/15/ /15/2018
3 N_006 Report on the completion of National Committee on Quality Assurance (NCQA) Patient Centered Medical Home (PCMH) Level III 2014, NCQA PCMH 2017, or NYS DOH Advanced Primary Care (APC) recognition. (for PPS Partners that provide primary care services) N_007 Demonstrate that Electronic Health Record (EHR) meets connectivity to a Regional Health Information Organization (RHIO)/ Health Information Exchange (HIE) and Statewide Health Information Network of New York (SHIN-NY) requirements. N_008 Demonstrate use of an approved social services referral platform to generate and/ or receive at least fifteen (15) social service referrals per quarter. Quarterly 4/30/2018 7/31/ /31/2018 1/31/2019 N_011 Demonstrate high rating on the Centers for Medicare and Medicaid Services (CMS) Five-Star Quality Rating System Score for Nursing Homes. (for PPS Partners that are Nursing Homes) 12/31/2018 Outcome Measures Refer to Section F3 of Phase III Comprehensive Schedule B. Partners are not required to report on these measures. Partners are eligible to earn the Maximum Valuation associated with each Outcome Measure that appears in their contract if: Partner successfully completes at least 50% of its Process Metrics*; and successfully achieves the Outcome Measure, as determined by the New York State Department of Health (NYS DOH). Payments to partners will be calculated by NYS DOH for the PPS as a whole and thus may impact total payments to PPS which, in turn, may impact payments to the individual PPS partners. *For the purposes of calculating the 50% threshold, the following metrics (if they appear in the Partner s Phase III Schedule B) are excluded: N_007; PS_007; PS_008; PS_009; and PS_010.
4 Key Implementation Activities Required Activity 1. Complete the Compliance Attestation and submit to OneCity Health PPS 2. Submit proof of Office of the Medicaid Inspector General (OMIG) compliance certifications if your organization is required by law 3. Ensure a current completed IRS W-9 form is on file with, and provide an updated form if required Timeline 6/30/2018 6/30/2019 3/31/2020 3/31/2018 3/31/2019 3/31/ Complete the National Provider Identifier (NPI) Update Survey 6/30/2018 6/30/2019 3/31/ Complete the NYC Health + Hospitals Vendor Demographics Form 2/23/ Sign up for the Recommended 1. Complete Learning Management System (LMS) Pre-launch Survey and coordinate with Workforce Development and Training Team to receive access to the LMS 2. Connect to Regional Health Information Organization (RHIO)/Health Information Exchange (HIE) (for partners that provide clinical services and/or have an electronic medical/health record) 3. Achieve National Committee on Quality Assurance (NCQA) Patient Centered Medical Home (PCMH) 2014, NCQA PCMH 2017, or NYS DOH Advanced Primary Care (APC) recognition (for partners that provide adult and/or pediatric primary care services) 4/30/ /31/2018 3/31/ Train staff on the NowPow Social Services Directory and Referral Platform 5. Other (as described in Implementation Toolkit(s))
5 Support and Technical Assistance Type of Support Overall Partnership General Support Contact Phone Richard Bernstock (Bronx) Ishmael Carter (Manhattan & Queens) Nicole Jordan-Martin (Brooklyn) Support Desk (M - F, 9 a.m. 5 p.m.) (646) (646) (646) Richard.Bernstock@nychhc.org Ishmael.Carter@nychhc.org Nicole.Jordan-Martin@nychhc.org 646) ochsupportdesk@nychhc.org Additional Resources Resource Website Events Calendar Partner Reporting Manual Supporting Materials DSRIP Compliance New York City Regional Electronic Adoption Center for Health (NYC REACH) Office of the National Coordinator for Health Information Technology Access benefits-electronic-health-records-ehrs 17MISC0000
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Welcome to the MS State Level Registry Companion Guide for Step 3 Attestation of your EHR This companion guide will assist providers as they move through the MS State Level Registry (MS SLR) online attestation