CNY Cares PHM System: Advancing Transformation

Similar documents
Central New York Care Collaborative (CNYCC) Oneida County Health Coalition Meeting June 30, 2016

A Bigger Bang Patient Portal Strategy: How we activated 100K patients in our First Year

Westchester Medical Center PPS Project Advisory Committee. April 15, 2015 Via Webinar: 10:00 am 11:30 am

Kentucky Sepsis Summit. August 2016

Corporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,

HPV Vaccination Quality Improvement: Physician Perspective

Transforming Health Care with Health IT

Practice Report Out. Western Slope CPC Practices

Driving the value of health care through integration. Kaiser Permanente All Rights Reserved.

Quality Management Report 2017 Q2

2017 HIMSS DAVIES APPLICANT

Exhibit A.11.DY3. DSRIP Year 3 Extra Large Primary Care Provider ( PCP ) Requirements

User Group Meeting. December 2, 2011

Compliance Division Staff Report

Executive Director s Report

Cultural Transformation and the Road to an ACO Lee Sacks, M.D. CEO Mark Shields, M.D., MBA Senior Medical Director

New York State Department of Health Innovation Initiatives

Patient Care: Case Study in EHR Implementation. With Help From Monkeys, Mice, and Penguins. Tom Goodwin, MHA MIT Medical Cambridge, MA March 2007

Secrets for Performance Improvement with Data Driven Practice Transformation. Jessica Henderson Boyd, MD, MPH Chief Medical Officer

COLLECTING SOCIAL DETERMINANTS OF HEALTH DATA USING PRAPARE TO REDUCE DISPARITIES, IMPROVE OUTCOMES, AND TRANSFORM CARE

Date & Time 9:00 10:00AM Meeting Title IT Clinical Operations Committee. Conference Line. Invitees

Cayuga County Regional Project Advisory Committee

diabetes care and quality improvement in our practice

Ontario Shores Journey to EMRAM Stage 7. October 21, 2015

ARRA New Opportunities for Community Mental Health

San Francisco Department of Public Health Black/African American Health Initiative (BAAHI) Attachments

Phase 1: Project Orientation and Analysis

Combining Nursing Power and Quality Metrics to Influence Policy Development

RPC and OMH Collaborative Care Webinar. February 1, pm

COLLECTING SOCIAL DETERMINANTS OF HEALTH DATA USING PRAPARE TO REDUCE DISPARITIES, IMPROVE OUTCOMES, AND TRANSFORM CARE

Primary Care/Behavioral Health Integration (3ai)

Presbyterian Healthcare Services Care Management

Nicole Harmon, MBA, PCMH CCE Senior Director, PCMH Advisory Services HANYS Solutions Patient-Centered Medical

BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS

Administrative Update: How to Implement Discharge Pharmacy Services (DPS) Objectives

Laguna Honda Lean Transformation. Laguna Honda Strategic Performance Management November 2017

2017 HIMSS DAVIES APPLICANT

SFI Research Centres Reporting Requirements

SFI Research Centres Reporting Requirements

Health IT Council and Advisory Committee Meeting. June 18, 2012 One Ashburton Place, 21 st Floor Boston, MA

Technical Assistance for Connecting Children to Nature

Enlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET):

Ohio SIM: Episode-based payment updates. Webinar June 29, 2017

Designing Reliable Value-based Systems of Care for Chronic Disease and Prevention

Using the BaldrigeCriteria to Achieve High Reliability

ICD-10 Implementation and Medicare Testing. February 26, 2015

Advancing Accountability for Improving HCAHPS at Ingalls

ICD-10 ICD-10: Are you Ready? October 23, 2013

The Triple Aim. Productivity: Digging Deep Enough 11/4/2013. quality and satisfaction); Improving the health of populations; and

Improving Quality of Care in Anesthesiology Session # 182, March 7, 2018

The Long and Winding Road-map: From Waiver Services to VBP and Other Stops Along the Way

STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018

Managing Risk Through Population Health Initiatives

Long-term & Post-Acute Care (LTPAC) Utilizing the Mass HIway

2014 Pay for Performance (P4P) Program. Training for Participants

Improving Clinical Flow ECHO Collaborative Change Package

Building the Universal Roadmap to Population Health Management

ASSESSING AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH USING PRAPARE:

FISMA in Federal Contracts: What to do Who can help. Rachel Rice Ackman MGH Research Compliance Office

Overview of Home Health Star Ratings

Water Conservation Industrial,Commercial,Institutional (ICI) Audit and Rebate Program. City of Dallas Water Utilities February 13, 2012

North Carolina Division of Medical Assistance

Overcoming Psycho-Social Hurdles to Transitional Care

Catalog of Value-Based Payment (VBP) Resources July 2017

Achieving Operational Excellence with an EHR a CIO s Perspective

Florida Health Information Exchange (HIE) Quarterly Plan Report. Contract No. EXD027. August 15, (Ref. EXD027 Attach. I, Pg.

Integrated health services, integrated data sets, what comes first?

Catherine Porto, MPA, RHIA, CHP Executive Director HIM. Madelyn Horn Noble 3M HIM Data Analyst

Please place your phone line on mute.

JMOC Update: Behavioral Health Redesign. December 15 th, 2016

Meeting Title. Facilitator. Conference Line

How to Improve HEDIS Reporting Among Providers and Improve Your Health Plan Rankings

Accreditation Support for Ohio Local Health Districts Request for Training or Technical Assistance - Round 1 The Ohio Department of Health

IBM Watson Health Utica Park Clinic The need The solution The benefit

CRITICAL ACCESS HOSPITAL NETWORK OF EASTERN WASHINGTON

Taming Length of Stay Challenges Through Analytics

OUR FOCUS ON PATIENT SATISFACTION

PCMH Success Plan. Quick Review. Why Are We Here? What Have We Done? Where Are We Going? 5/18/2015. May 15, 2015

JANUARY 2018 (21 work days) FEBRUARY 2018 (19 work days)

Health Information Technology

Let Hospital Workforce Data Talk

Population Health. Collaborative Care. One interoperable platform. NextGen Care

Albany Medical Center. AMCH PPS Clinical & Quality Affairs Committee

Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017

BLACK/AFRICAN AMERICAN HEALTH INITIATIVE Ayanna Bennett, MD Director Of Interdivisional Initiatives. October 18, 2016 Update

Workflow. Optimisation. hereweare.org.uk. hereweare.org.uk

Operational Excellence: Lean

Social Determinants of Health and Medicaid Payment Reform

1. March RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 13.8%

2016 Nominating Committee. ICANN55 9 March 2016

HSAG the QIN-QIO NHQCC II and CDI Initiative Kick-off

GRANTS.GOV Updates Federal Demonstration Partnership Meeting. Presented by Grants.gov September 7, 2017

Examining the Differences Between Commercial and Medicare ACO Models

Presentation Outline

Massachusetts League of Community Health Centers CHI Conference May 3, 2017 AGENDA. Overview of PRAPARE

Journey in managing practice variation in Diabetes and Hypertension (Part 2/2)

Andrew Kirby Director, Healthcare Solutions Microsoft Services

POPULATION HEALTH PLAYBOOK. Mark Wendling, MD Executive Director LVPHO/Valley Preferred 1

Building & Strengthening Patient Centered Medical Homes in the Safety Net

Computing Support for the Enterprise

Transcription:

CNY Cares PHM System: Advancing Transformation

Agenda 2 Community Integration By The Numbers Community Modules Partner Integration/Implementation Progress and Success How can PHM help your organization Discussion

Community Integration 3 By the Numbers Integrations 43 Unique Source Systems Currently Integrating 36 Partner Organizations Hospital, PC, BH, HH,HSO 24 Newly Incentivized Integration Partners PC,BH,HSO 60 Possible Partner Integrations 73 Total Partner Organization to be enabled in Q1 2019 on Claims Data By the Numbers Measures 24 DSRIP Measures DSRIP Related Performance Management 3 Custom Measures DSRIP Related Performance Management 27 VBP Measures Measure Provided to Allow Partners to prepare for VBP contracting

Community Integration Modules 4 Performance Manager Available to All Integration Partners Available to All Partners with Claims Attribution 73 Total Partners Care Manager Available to All Partners Community Care Plan CBO & HSO Programming Engagement Manager Available to Integration Partners Real time care coordination and outreach 60 Possible Partners by program completion

Community Integration: Scaling 50 45 40 39 39 43 35 30 31 34 34 34 25 25 20 19 19 15 15 10 10 10 5 0 0 0 6 0 4 3 0 5 4 3 0 0 5 0 4 Source Go Lives Partner Go Lives Total Sources

Community Integration Milestone Progress 100.00% 90.00% 26.83% 17.07% 80.00% 70.00% 56.10% 51.22% 12.20% 41.46% 60.00% 82.93% 85.37% 19.51% 50.00% 100.00% 100.00% 40.00% 30.00% 19.51% 12.20% 53.66% 70.73% 58.54% 20.00% 36.59% 10.00% 17.07% 14.63% 24.39% 0.00% Kickoff Project Discovery Gaps Closures Connectivity Mapping Integration Virtual Chart Review Content Validation Training Remaining In progress Complete 6

Community Integration: Partner Timeline Partner/EMR Estimated Completion Date Note/Act Complete Auburn McKesson Complete (Dec 17) Complete Auburn Medent Complete (Dec 17) Complete MVHS All Scripts MVHS McKesson MVHS Centricity MVHS Greenway MVHS AS/400 Family Care Medical Group Medent East Hill Medent CHS Medent Oswego Family Physicians Medent Claims Oneida Meditech Connext Care Oneida Medent Sitrin Medent Sep 18 Nov 18 Nov 18 Nov 18 Nov 18 Integration Compete: MVHS & IBM Working through content validation tickets (Oct 18) Integration Compete: IBM and Medent Verifying data for one measures (Oct 18) Integration Compete: Content Validation with IBM (Nov 18) Data integrated, QA Started working towards sign off Data integrated, QA Started working towards sign off Data integrated, QA Started working towards sign off Data integrated, QA Started working towards sign off

Community Integration: Partner Timeline Partner/EMR Estimated Completion Date Note Liberty Medent Nov 18 Data integrated working towards sign off Lewis County General Meditech Dec 18 Data mapped working towards sign off 1 month behind Lewis County General Meditech Amb Dec 18 Data mapped working towards sign off 1 month behind Planned Parenthood Mohawk Hudson Dec 18 Data integrated, QA Started working towards sign off Loretto True Chart Dec 18 Currently Integrating Oswego Meditech Feb 19 Mapping review being scheduled Meditech Upgrade Physician Care PC Feb 19 Mapping review being scheduled Meditech Upgrade SCHC Nextgen Feb 19 SCHC Creating views to limit BH/SUD Data Crouse/Community Sorian Feb 19 Operational & SUD prior to mapping ARISE Nersmart Feb 19 Mapping Phase Kinney Drugs Feb 19 Mapping Phase Rome Medent Mar 19 Data Being Integrated Rome McKesson Mar 19 Mapping Phase Community Memorial Medent Mar 19 Data Being Integrated Crouse Medent Mar 19 Data Being Integrated Liberty DocAssist Mar 19 Data Validation

Community Integration: Partner Timeline Partner/EMR Estimated Completion Date Note Upstate Epic TBD Upstate on hold until at least Jan 2019 SJHHC Epic TBD SJHHC evaluating Data Use Agreement before sending live data, test data has been mapped Sitrin PointClick Care Apr 19 Working with PCC Fingerlake Community Health ecw Apr 19 Data Connectivity in Progress RPCN ecw Apr 19 Mapping to begin Circare Homegrown CM Desktop Jul 19 Pre Mapping Circare Qualifacts Jul 19 Pre Mapping CNYHHN GSI Jul 19 Initial extractions being processed Helio Netsmart Jul 19 Working with IBM to Architecture The Neighborhood Center Jul 19 Initial extractions being processed Menorah Park Sigma Care Sep 19 Not Started St. Camillus PointClick Care Sep 19 Working with PCC Upstate CP Credible Sep 19 Working with Credible EMR

How Can Watson Help: Performance Manager 10 Data Governance Aggregation and standardization of data will allow to see documentation inefficiencies in your own data Patient List Generation Registries allow your organization to find custom patient cohorts using all community data VBP Readiness Measures, Metrics and Registry using all community data will allow your organization to have superior insight when negotiating VBP contracts Care Opportunities Community patient chart, measures and registries will actively identify patients in need of care, or avoid redundant Care

How Can Watson Help: Engagement Manager 11 Care Coordination Use all community data with IBM protocols to perform automatic protocol based outreach on patients in need of care or intervention. Breast Cancer Screen, Cervical Care Screen, Diabetes, Depression, Cholesterol, Annual Wellness Custom Campaigns Use campaign function to target patients of Organization, or Clinic specific initiatives Flu Shot Reminders, School Physical Reminders, Registry based campaigns Practice Efficiency All outreach performed is custom to your organization, with your brand Outreach is performance your preferred cadence

How Can Watson Help: Watson Care Manager 12 Custom Care Management CNYCC will work with partners to put their assessments and programs into Watson Care Manager. Community Care Plan As organizations adopt Care Manage, you will be able to collaborate on care within one system and view the shared care plan. Effective Capture of Social Determinants of Health All participating partners can document on SDH on patients which can lead to more effective care planning. SDH can be used with clinical data to drive new insight into community. Community Referrals Care manager and community portal can provide effective community based referral process.

Discussion: What else can Watson do for you? Performance Manager Are there performance initiatives that do not fit into the categories discussed? Medicare? Private Payer? Internal? 13 Engagement Manager What type of routine outreach does your organization normally perform? Is it automated? Does it meet all your needs? Are there protocols or groups of patients you have trouble identifying? Care Manager In what ways does can a community care plan benefit your organization and your patients/clients? Does your organization have the ability to document care plans? How would a community care plan save you time?

2024 © careersdocbox.com Privacy Policy | Terms of Service | Feedback