Town Hall WELCOME! June 10, 2016

Transcription

1 Town Hall WELCOME! June 10, 2016

2 Welcome & Introduction Chris Arce, Director of Business Development, BLHC Co-Lead, Stakeholder Engagement Housekeeping Please keep cell phone on silent Restrooms are located on the lower level Town Hall Feedback Survey After this Town Hall, you will receive a survey VIA Survey Monkey. Please take the time to complete and give us feedback for consideration at future town halls Bronx Health Access 1

3 Agenda Topic Discussion Speaker Welcome & Breakfast Introduction Chris Arce General Updates VBP Bootcamp CBO Planning Grant Cash Flow Update Doris Saintil Phildor Victor Demarco Partner Highlight Urban Health Plan Debbie Lester Stanford Diabetes Self-Management Program Health People Chris Norwood/ Kathy Alexis Workforce Workforce Introduction Past/Current/Future Training Opportunities Language of Care Cultural Competency & Health Literacy Workforce Communication & Engagement HWapps DSRIP 101- elearning Selena Griffin-Mahon Denise Cherenfant Maria Luisa Castaneda Shali Sharma/Diane Strom Roy Wallach Nyasha Maddox Networking Session Bronx Health Access 2

4 Bronx Health Access Project Management Office (PMO) Dennis Maquiling, Executive Director Project Managers: Steve Maggio, Project 2.ai, IT Committee, Finance Committee Kathleen Craig, Project 2.aiii, 2.bi, 2.biv, Duane Granston, Project 4.aiii, 4.cii, PCMH, Workforce Committee, CC&HL Kathy Alexis, Project 3.ai, 3.ci, 3.dii, 3.fi Analysts: Natalia Grigorieva, Financial Analyst Megan Lessard, Data Analyst Bronx Health Access 3

5 Bronx Health Access Project Management Office (PMO) Stakeholder Engagement Managers: Jessica Colon Dahiana Rosario Felix Delgado Site Director: Doris Saintil Phildor Bronx Health Access 4

6 VBP Bootcamp Series Regional learning series created by Department of Health (DOH) In-depth look at Value Based Contracting What it means to be a VBP Contractor How to make a CBO contract successful Session 3 is targeted towards all NYC PPS s July 20 th August 17 th September 12 th Registration is required. Registration for Session 3 open from 6/16 through 6/30. Event is free and open to the public. For those unable to attend in person, there will be a Live Webcast of the sessions bp_reform.htm CBO Panel: June 29 th from 1-3pm Bronx Health Access 5

7 CBO Planning Grant In order to achieve the DSRIP goal of a 25% reduction in avoidable emergency room visits and hospital admissions, it is vital to address to various social determinants of health that contribute to these avoidable visits/admissions. Housing Nutrition Transportation Legal-Aid Community Based Organizations (CBO) are designed to address many of these issues. Participation from CBOs, many who are unable to bill Medicaid, are essential to the success of DSRIP Bronx Health Access 6

8 CBO Planning Grant DOH developed a RFA to provide planning grant dollars to support CBOs who do not bill Medicaid to participate in DSRIP and PPS networks. Final grant award will be issued to three regional consortiums of CBOs in the State. The grant is to assist CBO Consortiums in planning activities to identify business requirements and formulate strategies for shortterm needs as well as longer term plans If CBO meets DOH eligibility requirement, BHA PPS will provide an initial consultation with our Grant Consultant, One River Grants, at no cost If a CBO decides to apply as Consortium Lead, BHA PPS will write a letter of support (application requirement) Due Date for Applications: 8/16/2016 by 4:00 p.m. ET Bronx Health Access 7

9 CASH POSITION Bronx Health Access 8

10 DSRIP Award Letter

11 Budgeted Funding by Years Net Project Valuation Equity Infrastructure Equity Performance Program Total DY1 $11,515,003 $7,927,277 $5,284,852 $24,727,132 DY2 $12,271,038 $7,927,277 $5,284,852 $25,483,167 DY3 $19,838,663 $7,927,277 $5,284,852 $33,050,792 DY4 $17,556,017 $7,927,277 $5,284,852 $30,768,146 DY5 $11,515,003 $7,927,277 $5,284,852 $24,727,132 Total $72,695,724 $39,636,387 $26,424,258 $138,756,369 10

12 Cash Receipts DSRIP Year Payment Date Net Project Valuation Equity Infrastructure Equity Performance Payment Total DY1 5/28/15 $6,906,677 $0 $0 $6,906,677 1/26/16 $2,099,309 $0 $0 $2,099,309 Total DY1 $9,005,986 $0 $0 $9,005,986 DY2 6/3/16 $0 $1,505,388 $0 $1,505,388 6/6/16 $0 $3,151,232 $0 $3,151,232 Forecasted $9,271,572 $9,216,114 $5,284,851 $23,772,537 Total DY2 $9,271,572 $13,872,734 $5,284,851 $28,429,157 11

13 Amounts Spent or Forecasted Project # Project name DY1 Cost DY2 Forecasted - Administration $5,516,515 $279,952 2.a.i Create Integrated Delivery System $0 $501,290 2.a.iii Health Home at Risk $190,392 $928,019 2.b.i Ambulatory Intensive Care Units $192,407 $799,727 2.b.iv Care Transitions Intervention $74,124 $1,671,578 3.a.i Integration of Primary Care/Behavioral Health $132,508 $1,450,466 3.c.i Disease Mgt. in High Risk/Affected Populations $0 $896,625 3.d.ii Asthma Home Based Self-management $359,080 $1,385,932 3.f.i Maternal and Child Health $145,604 $326,784 4.a.iii Mental Health & Substance Abuse Infrastructure $34,957 $219,201 4.c.ii Early Access/Retention in HIV Care $70,097 $734,473 IT Committee (net of CRFP funding) $481,528 $845,628 PCMH Committee $276,250 $368,333 Stakeholder Committee $134,235 $407,448 Workforce Committee $1,882,500 $3,532,000 Sustainability Fund $0 $2,548,317 Performance Fund $0 $8,000,000 Total $9,490,197 $27,345,773 12

14 Cash Position Cash Received for Forecasted Amounts Spent or Forecasted DY1 DY2 $9,005,986 $28,429,157 $9,490,197 $27,345,773 Cash Position ($484,211) $599,173 13

15 Bronx Health Access Town Hall Meeting June 10, 2016

16 History and Background Founded by Dr. Richard Izquierdo Federally Qualified Community Health Center Celebrating 42 years of service to the South Bronx and 6 years of service to the Corona Community 22 practice sites 9 practice sites 9 school based health centers 3 part time clinics 1 Mobile van 2015: 74,000 unique patients/366,000 visits Joint Commission Accredited NCQA PCMH Recognized-Level 3

17 Clinical Services Primary Care across the Life Cycle Seventeen Medical Sub Specialties Laboratory and Radiology Adult and Child Psychiatry Prenatal Care Adolescent Health and Wellness Center HIV Care New Center for Healthy Aging

18 Transformation Asthma Management Program Institute for the Advancement of Community Health Performance Improvement Teams Quality Committee Structure & Dashboards NCQA Patient Centered Medical Home Patient Satisfaction Associate Satisfaction Associate Health and Wellness

19 Transformation (continued) Learning Center Public Health Council Community Based Research Program On Boarding Program Team Based Care: integrated services (behavioral health, social services, health education, nutrition, pharmacist, care management/health Home) Value Based Payment/Shared Savings Partnerships

20 Performance Improvement Initiatives Diabetes Control Depression Screening and SBIRT Family Planning FIT Testing

21 Patient and Community Programs Diabetes Education Program & Diabetes Expo CDSMP and DSMP (Stanford Model) Canyon Ranch Life Enhancement Program Health and Wellness Room Demonstration Kitchen: La Cocinita National Diabetes Prevention Program Shop Healthy Bronx Bee Healthy Public Health Campaign Facilitated Enrollment MICHC WIC Services Project Hope Dr. Richard Izquierdo Health and Science Charter School

22 Bronx Health Access Partner UHP participates in the following DSRIP Projects: Integrated Delivery System Diabetes Ambulatory ICU Care Transitions Integration of Behavioral Health into Primary care Maternal Child Health Asthma Home Based Care Domain 4: HIV and Behavioral Health

23 Access Walk in during hours of operation New patient intake during hours of operation No appointment needed Appointment Line & Same Day Appt Open early mornings, evenings and weekends After Hours On Call Service

24 Questions?

25 Stanford Diabetes Self- Management Program (DSMP) Presentation to Town Hall Meeting Friday, June 10, 2016 Presenters: Chris Norwood, Executive Director with Kathy Alexis, MPH, CHES, Senior Project Manager 24

26 About Us Began over 25 years ago as a support group for women with AIDS Currently offers prevention and self-care education and services for HIV/AIDS, diabetes and other chronic diseases, as well as award-winning youth mentoring programs for children with ill or deceased parents and for young men on probation Utilize, in all programs, peer model of training people most affected by disease to educate others and advocate for the community Empower residents by teaching them how to manage and/or prevent chronic illness through effective health management and self-care Inspire hope, create jobs and improve the health of thousands of people in need 25

27 Purpose of this Presentation Health People is very excited to collaborate with Bronx Lebanon Hospital Center s PPS, Bronx Health Access to engage community partners to help patients with diabetes live healthier lives and reduce hospitalizations and ED use. This webinar will go over the steps to create a Diabetes Wellness Community: 1) Train Staff in Stanford Diabetes Self-Management Program (DSMP) 2) Recommend & Train individuals with type 2 Diabetes 3) Implementation of Stanford DSMP for participants 26

28 Diabetes Self-Management Program (DSMP) Developed at Stanford University Evaluated with randomized, controlled study One year after workshop completion, participants show significant improvements: - Depression - Communication with physicians - Healthy eating - Patient activation - Self-efficacy Additional evaluation shows: - Fewer hospital days - More PCP visits It is the process in which the program is taught that makes it effective. Classes are highly participative, where mutual support and success build the participants confidence in their ability to manage their health and maintain active and fulfilling lives. 27

29 Diabetes Self-Management Program (DSMP) Subjects covered include: - Techniques to deal with symptoms of diabetes, fatigue, pain, hyper/hypoglycemia, stress, emotional problems such as depression, anger, fear and frustration - Healthy eating & exercise - Appropriate use of medication - Working more effectively with health care providers Participants: - Make weekly action plans - Share experiences - Help each other solve problems they encounter with creating & carrying out their self-management program 28

30 Diabetes Self-Management Program (DSMP) 6-session Workshop: - One 2 ½ hour class per week - Facilitated by 2 Trained Leaders o 1 or both of whom have diabetes participants per Workshop - Offered at scheduled times & identified partner locations Participants receive: - Stanford-recommended workbook & CD - Nutritious Snack - Support from other group members & Coaches 29

31 Overview The Bronx Lebanon Bronx Health Access and Health People PPS Project is creating a Diabetes Wellness Community in 3 Steps: 1. Train Staff as Leaders to facilitate DSMP Care team staff from clinical & community partners will be trained by Health People to facilitate the Stanford DSMP 2. Staff recommends potential Peer Leaders to be trained to facilitate the DSMP Individuals with Type 2 Diabetes & Medicaid and other qualifications will be trained by Health People 3. Implement DSMP Workshops for participants with Type 2 Diabetes Participants are referred by Staff to attend 6-session DSMP, which is facilitated by Staff and/or Peer Leaders 30

32 Step 1: DSMP Staff Leader Training 4-Day Training: - 9am-5pm each day (split 2 days a week for 2 weeks) - Facilitated by 2 Stanford-approved Master Trainers - Up to 20 Potential Staff Leaders per Training Participants: - Learn to facilitate the Stanford DSMP 6-session workshop - Receive a Certificate of Completion & Recognition as Stanford Educator - Are approved to deliver life-changing workshops to patients with Type 2 Diabetes - Receive Stanford Instructor Manuals - Have support from group & Master Trainers - Get nutritious snacks or meal at each day of training 31

33 Step 2: Recommend Potential Peer Leaders for 5-Week Training Health People expects to interview 60 potential peer leaders to have 20 begin Training Good candidates are men and women who have Type 2 Diabetes and Medicaid and: 8 th grade literacy level Take good care of themselves Can likely commit to 5 Week Training (4 days/week) 6 Month Internship Part-Time work schedule Want to help the community and enjoy working with people Willing to facilitate DSMP 6-Session Workshops Our peer educators are directly representative of their community and they reach, teach and inspire others to fight for better health. 32

34 Selected Potential Peer Leaders who attend the 5-Week Training will receive: 5-Week Training - 4 days a week - Includes both Health People Peer Educator Training & Stanford DSMP Training Certificate of Completion & Recognition as Stanford Educator Stipends ($10/day) & MetroCards for each day of training Eligibility for Internship, then Part- Time Employment After Training, Peer Leaders have: 6-Month Internship ($50 stipend & MetroCards for 2 Workshops + 1 Peer Meeting per week), then Part-Time Employment (10 Hours per above minimum wage) 33

35 Step 3: Implementing DSMP Courses Stanford indicates that workshops are facilitated from a highly detailed manual by two trained Leaders, one or both of whom are peer leaders with diabetes themselves. To facilitate DSMP courses, options are: - 2 Staff Leaders (if one has diabetes) - 2 Health People Peer Leaders - 1 Staff + 1 Health People Peer Leader Coming soon! How to sign participants up to attend DSMP courses 34

36 What do you get? Join a widespread, evidence-based initiative to fight the terrible toll of diabetes in the Bronx! Outstanding opportunity for your agency s participants with diabetes; improved health of peer coaches is routinely extraordinary! On-site Diabetes Self-Management courses at your own agency or community organization for groups of up to 16 people with diabetes! 35

37 Next Steps Step 1 Staff: Sign Up Now to attend Training! Confirmed Dates: June 28, 29 and July 6, 7 Visit der1 to Register to become a Staff Leader Questions? Contact: Kathy Alexis, DSRIP Sr. Project Manager Bronx Health Access kalexis@bronxleb.org Step 2 Recommend Potential Peer Leaders Visit er to Recommend Good Candidates Questions? Contact: Rosa Martinez, Prevention Coordinator Health People Ext. 294 RosaMartinez@HealthPeople.org 36

38 Bronx Health Access Workforce Committee Selena Griffin-Mahon, Co-Lead Bronx Health Access 37

39 Bronx Health Access Workforce Committee Members Co-Chairs Selena Griffin-Mahon, Bronx Lebanon Rosa Agosto, Urban Health Plan Members Denise Cherenfant, 1199SEIU Training Fund John Diaz Chermack, Hospice of New York Aurela Ferracku, Argus Community Inc. Judith Gayle, Hospice of New York Cathy Giandurco, Premier Home Health Care Marcia Halley, University Consultation Center Duane Granston, PMO Meridania Gutierrez, 1199 SEIU Training Fund Robert McCauley, NYSNA Clara Peterson, VNSNY Lucia Pons, Dennelisse Corp. Shirley Riley, 1199SEIU Nestor Sanchez, Dennelisse Corp. Jed Tyrpak, Committee of Interns & Residents Roy Wallach, Arms Acres & Conifer Park Debbie Witham, VIP Community Services Sui Ling Xu, 1199 SEIU Bronx Health Access 38

40 DSRIP Meetings Bronx Health Access Town Hall June 10, 2016

41 About Us Largest joint Labor-Management workforce development organization in the US Cover 250,000 workers and over 600 employers across all healthcare sectors, including public & private hospitals, nursing homes, CBOs, clinics, home care agencies Jointly governed by 1199SEIU UHWE and healthcare employers Funded by collective bargaining contributions, supplemented by Federal, State, local & foundation grants

42 Governance Structure 41 Joint Labor-Management Boards 50% union and 50% management with overlapping membership and integrated staff Board Training & Employment Funds Training & Upgrading Fund Job Security Fund Labor Management Initiatives Home Care Education Fund Registered Nurse Training & Job Security Fund

43 Multi-faceted Approach to Workforce Development Expertise in workforce development, training, redeployment & labormanagement relations Proven history of preparing workforce for industry changes Coordinate among training vendors and services; clearinghouse for national best practices in curricula and workforce services Provide training and education to more than 30,000 people a year, union and non-union. (3,000 non-union members per year via grant and other funding.)

44 Past BHA PPS Classes 1. Peer Orientation 6 Hours This training is design to increase early access to and retention in HIV care. 12/3/ staff BOOM Health, Bronx Works, Argus Community, Bronx Lebanon 2. Language of Care Spanish for Healthcare Workers A contextualized 40 hours 10 week The Foreign Language Program offers contextualized language training for health care staff to enable them to communicate with their non-english speaking patients and family. Our program offers a variety of on-site training models depending on the language, organization s needs and participants availability. 1/12-3/ : 46 Students 3/14-5/ : 71 Students Bronx Lebanon Staff 3. Medical Assistant Refresher 63 hours- 3 Staff 3/22-5/ Bronx Lebanon & BPHC PPS

45 Past BHA PPS Classes Cont d 4. Chronic Care Model Training-Train the trainer 3 sections: 1/28, 4/27 & 4/ hours per section-43 Staff Bronx Lebanon, Uptown Health, Damian, Renaissance 5. Care Coordination Customer Service for Security Workers 7 Hours- 66 Security Staff 4/2, 4/18, 4/21 &4/25 Bronx Lebanon Staff 6. Nutrition for Dental Residents 1 hour a day for 8 weeks: 44 Residents Bronx Lebanon

46 Current BHA PPS Classes Language of Care Spanish for Healthcare Workers A contextualized 40 hours, 10 week program Mon. & Wed.5/23-6/27 Tues. & Thur. 6/1-8/4 Bronx Lebanon Staff Care Manager Training for Care Transition and Coordination Care Coordination Customer Service Training (Security) will be holding an additional with partners

47 Upcoming BHA PPS Classes DSRIP 10I E-Course MA Refresher Course Spanish for Dental Residents Language of Caring-Family Medicine Care Coordination Customer service Training for Security CASAC Training developed and hosted at VIP Services LMSW & LCSW Prep hosted with VIP Services

48 MA Refresher Course

49 Spanish for Dental Residents The 1199SEIU Foreign Language Program offers contextualized language training for dental staff to enable them to communicate with their non-english speaking patients and family. Basic training is 40 hours, consisting of 2-hour sessions, twice a week for 10 weeks. We can also accommodate half day or full day trainings (7hrs/day for 6 weeks). Class size consists of up to 12 participants.

50 Language of Caring Family Medicine Language of Caring-Family Medicine is a curriculum that helps physicians communicate with patients, families and the entire healthcare team in ways that build relationships, earn trust, and foster engagement communication. The program helps physicians fine-tune the specific communication skills key to patient and family-centered care, the unparalleled patient experience, positive clinical outcomes and a more satisfying practice for the physicians themselves.

51 Credentialed Alcoholism and Substance Abuse Counselor (CASAC) Training Developed and hosted together with VIP Three components: A remedial course for those assessed to need additional support, provides basic writing and learning skills to improve success in CASAC course 350 hour CASAC training Preparation for CASAC certification exam

52 Bootcamps for LMSW and LCSW Developed and hosted together with VIP Intensive review of social work content and test taking skills in order to pass the license for the LMSW

53 Request a Training

54 Questions

55 1199SEIU Training and Employment Funds The Language of Care Program Spanish Training at Bronx-Lebanon Hospital June 10, 2016

56 The Language of Care Spanish Language Training at BLH Goal of the Program: To enhance the quality of care by helping BLH staff learn Spanish to communicate with their Latino patients and families.

57 Learning Spanish at BLH

58 The Language of Care Program Model Conduct needs assessment for every group Customized content for the specific job titles hour language training(2hrs, 2x a week, 10 weeks) Emphasis on speaking Sts gradually engaged in realistic dialogues and language exercises in work-related settings Highly qualified instructors Cultural awareness component

59 Direct Care book: Chequeo Médico / Medical Check-Up

60 Spanish Language Trainings for: Direct Care, Medical Doctors, Administration, Nursing Home, Social Workers Medical Doctors Admin. Support Nursing Home

61 Outcomes Enhanced communication during routine activities and customer service Faster workflow and increased ability to recognize patients needs Improved cultural awareness Increased patient and family s satisfaction Increased staff morale and job satisfaction

62 Our Graduates

63 Testimonies All activities were engaging, fun and educational I have a better understanding of the Spanish culture and the role that family plays in the care of family members This is my first Spanish language learning experience; in just a few weeks the communication with my patients has greatly increased! Now I feel comfortable giving directions in Spanish to patients that I encounter daily. -- Practice Administrator The class helped me a lot in triaging ER patients. When I speak Spanish to them, they appear happy and content. This helps to alleviate their anxiety during hospitalization. -- RN --RN -- Patient Care Manager -- ER Nurse

64 The Language of Care The Language of Care is a universal one

65 BHA Cultural Competency & Health Literacy Training Strategy Prepared by: BHA CC/HL Committee

66 Context The Bronx Health Access PPS (BHA) has created this document in response to the NYSDOH Cultural Competency & Health Literacy (CC/HL) requirement to develop a training strategy with a focus on addressing the drivers of health disparities beyond the availability of language appropriate material. We have reviewed the community needs assessment and the results of the workforce survey that was conducted in January We identified challenges to providing culturally competent care as well as assessments and tools that will help us achieve the vision of providing care the results in optimal health outcomes and a satisfying patient experience. We identified three overarching elements of the training strategy: Trainings Materials Resources to improve organizational practices in CC/HL This training strategy is meant to address the needs that were identified in the CNA and the workforce survey among the key targeted groups. In addition to these elements, BHA plans to hire a CC/HL Coordinator who will be responsible for overseeing the implementation of the CC/HL training strategy across the project workgroups and partner organizations.

67 CC/HL 3-Prong Training Strategy 1. Provide resources for improving organizational practices in CC/HL Provide tools, training, & assistance for partners: Improve access to care via system wide implementation of CC/HL strategy Identify & orient CC/HL Champions for all participating partners and tie to funds flow Provide resources to improve organizational practices in CC/HL. (i.e. On-line tools, work groups, partner mentors, CC/HL Coordinator) 2. Provide CC/HL Training available to relevant staff and projects Core CC/HL training (general overview) Specific CC/HL Training per project/organization Language of Care classes Spanish, French, etc. Peer training Health Literacy Training for Staff Motivational Interviewing & Self- Management group 3. Make CC/HL training materials available for partners on HWapps Survey partners and open sources for CC/HL tools and resources. Post tools and resources on HWapps for partners and CC/HL staff Provide technical assistance for specific needs

68 Workforce Communication & Engagement Roy Wallach, Co-Lead for Stakeholder Engagement Committee Bronx Health Access 67

69 Workforce Communication & Engagement Stakeholders and Workforce Town Halls Website Newsletter Outreach Communication Plan Workforce HWApps e-learning DSRIP 101 Requirement for all employees (linked to payment) YouTube Video Orientation for new employees Staff Meetings DSRIP related Trainings Start with DSRIP 101 Training Literature Training Request Forms Flyers Advertising Training Bronx Health Access 68

70 Workforce Communication & Engagement Communication Plan Request unions to talk about DSRIP at union delegate or chapter meetings Informational Letter/Flyers to be distributed with paycheck or other distribution method Stakeholders will reach out to partners regarding available trainings Bronx Health Access 69

71 Bronx Health Access 70

72 HWapps Bronx Health Access 71

73 HWapps Bronx Health Access 72

74 HWapps Bronx Health Access 73

75 HWapps Bronx Health Access 74

76 HWapps Bronx Health Access 75

77 HWapps Bronx Health Access 76

78 HWapps Bronx Health Access 77

79 HWapps Bronx Health Access 78

80 DSRIP 101 elearning DSRIP 101 Video Bronx Health Access 79

81 Networking Session Bronx Health Access 80