DY3 PP1 Contracting Webinar Mount Sinai PPS (DSRIP) August 2017
Introductions Nina Bastian Associate Director, Operations Mount Sinai Ashley Fitch Senior Project Manager Mount Sinai Jocelyn Levine Data Analyst II Mount Sinai Tom Fitzsimmons Project Manager Mount Sinai Brendan Loughlin SVP of Finance Mount Sinai Health System Dennis Lumbao Project Manager Mount Sinai Kyth Trieu Manager, Partner Relations Mount Sinai Brian Ball Consultant Cope Health Solutions 2
Housekeeping Slides and a recording of this webinar will be e-mailed and posted on the contracting resources page on https://partner.mountsinai.org/web/mt-sinaipps/resources/contracts (Community Gateway log-in is required) All lines will be muted until Q&A at the end Use chat function for questions during the webinar Log into the WebEx to be tracked for attendance For desktop users, please dial your unique attendee ID into your phone Enter your unique attendee ID (not this particular number) 3
Agenda DY2 PP2 Recap Community Gateway Updates DY3 Contracting and Metrics Next Steps and Key Dates Q&A 4
DY2 PP2 Recap
DY2 PP2 Recap DY2 PP2 payments: Payments have been sent out the first week of August 2017 Approximately $9.7M disbursed across 123 partner organizations Please ensure support services addendum has been signed for your organization 6
Community Gateway Updates
Updates within Past Six Months Organizational Profile: You can search for other organizations and see About Us descriptions Contracting Metrics Tab Non-contracting related tabs are available to all users at your organization; contracting tab is available to specific users Enhanced descriptions and summaries in Contract Metrics tab Ability to sign payment disbursement attestation form digitally through Community Gateway Not applicable (N/A) option is available if metric artifacts are unavailable or not required for your organization 8
Updates within Past Six Months (cont d) Rolling out additional applications to more partners Application icons enhanced with vendor logos User can be mapped to multiple organizations upon request from partner lead New security feature for multi-factor authentication 9
Set-up for Multi-Factor Authentication Step One: Select login from the top right of the Mount Sinai PPS website: www.mountsinaipps.org Step Two: Sign-in using your username (email address) and password Step Three: When the SMS Text Message screen appears, click Send Code Step Four: Type the code from your phone into the textbox and click Verify 10
Set-up for Multi-Factor Authentication (MFA) Step Five: If prompted, click Configure Factor to set-up your security question Step Six: Select a question from the drop-down list and type in your answer. Click Save. Step Seven: Your Community Gateway Dashboard will now be displayed. Click on any application to use. 11
Going Forward with MFA Upon future logins, you can choose to select the authentication method to use: SMS authentication (Text Message) Security Question Follow the on-screen prompts to answer the security question or send code to receive a text message on your mobile device Note: Click Trust this device, to skip this authentication step for your device in the future Contact DSRIP IT Support at DSRIPITSupport@mountsinai.org or call 1-844- MSHS-4ME (674-7463) 12
Review of Reporting Upload Process 13
Review of Reporting Upload Process When you select N/A for a metric artifact, a pop up screen will appear, requiring you to enter justification as to why the requirement is not applicable to your organization Please be as specific as possible with your justification You must click yes after inputting the justification 14
Attestation for Payment Disbursement - Step 1 The payment disbursement attestation is a requirement to finalize your submission with each contracting performance period From the contracting metrics tab, click the Open button which triggers a pop-up window 15
Attestation for Payment Disbursement - Step 2 Jane Smith You may select Continue to send the attestation to your organization s contract signer for signature Or, you may click cancel to return to the main screen and come back to this attestation later 16
Attestation for Payment Disbursement - Step 3 Once you select continue, you are redirected to DocuSign for signature DocuSign triggers an email to the Contract Signer on file, containing a validation code. This validation code is required to continue to the signing of the attestation. If you are the Contract Signer, you can retrieve the code from your email and proceed to signature. If you are not the Contract Signer, kindly notify the signer to retrieve his/her email, click the link to enter the code, and proceed with signing the attestation. 17
DY3 PP1 Contracting and Metrics
DY3 PP1 Contracting Key Changes Since DY2 Targeted list of partners for DY3 PP1 (through Sept 30, 2017) 75 partners receiving contracts Phase 2 partners: 20 partners (focused on primary care and behavioral health) receiving additional metrics to start planning for DY3 PP2 No outcome metrics in DY3 PP1 No partner allocation floors in DY3 PP1 No hub metrics in DY3 PP1 19
DY3 PP1 Allocation Methodology Total allocation = Process allocation + Reporting allocation Process Allocation: The attribution-weighted percentage of all process metrics a partner is assigned Reporting Allocation: The percentage of all reporting metrics a partner is assigned Critical factors in allocation Process allocation is split by process metric, which is then further allocated to partners by partner s attribution in the provider types assigned to the process metric The reporting allocation is split evenly across all partners Actively engaged metric funding is allocated according to how many lives each partner is expected to contribute to the PPS s actively engaged target 20
DY3 PP1 Metrics ID Metric Type P14 Implementation commitment* Process Partners to Receive P15 Data submission improvement* P16 Improve Healthix patient consent P17 Health Home referral implementation P18 Tobacco cessation program promotion P19 HIV prevention program Process Process Process Process Process Phase 2 Partners All Partners P20 Actively Engaged (AE) performance Process AE Reporters R6 Medical Record Review (MRR) preparation Reporting R7 Quarterly workforce report Reporting R8 911 call report Reporting All Partners R9 Actively Engaged reporting Reporting AE Reporters * If your organization was assigned Metric P14 and/or P15, MSPPS will communicate details in subsequent webinar ID Note: Process metrics start at P14 and reporting metrics start at R6 21
Reporting Metrics What are they? How do partners earn funds? Which partners are accountable? Standard activities that all priority partners must complete Baseline metrics that MSPPS partners have submitted in prior contracts Submit partner information, attend required training(s), and submit completed reports by designated deadline(s) Attest to metric completion All partners Please reference Community Gateway Metric Guides for additional details on your Reporting Metrics 22
R6 Medical Record Review (MRR) Preparation Metric: Prepare for Medical Record Review (MRR) through training and submission of contact information Partner reporting requirement Attend Medical Record Review (MRR) webinar on Thursday September 28 th from 2:00 3:00 pm (details will be communicated by MSPPS and MedReview) Submit the following details for MRR communications: Two contacts (name, email) from your organization with whom to communicate regarding MRR (one contact should be senior leadership, and one should be IT/HIT) A secure fax number to receive MRR communications Name and email of the individual from your organization who submits this information NOTE: Complete and accurate contact information and fax number are required, and may be used in future rounds of MSPPS contracts Partner Reporting Action Fill out appropriate fields and attest to training attendance on Community Gateway. PPS Responsibility Provide instructions on attending training and reporting contact information 23
Metric R6 Background and Context Purpose The state needs to sample medical records for some P4P and P4R metrics How MSPPS will use results from this metric Ensure partners are prepared to submit medical records for state s review Appropriate activities to satisfy the metric Attend MRR training webinar on Thursday Sep. 28 th from 2:00 3:00 pm Organizations will need to log-in to the webinar by entering their organization name in the NAME textbox 24
Reporting Metrics R7-R9 ID Metric Name Metric Details Reporting Responsibility R7 Quarterly Workforce Report Complete quarterly report on staffing impact of DSRIP Submit a complete DY3 Q1 and Q2 staffing report in accordance with instructions provided by MSPPS R8 911 Calls Report Provide number and required details of 911 calls made by staff for the timeframe 4/1/17 to 9/30/17 Submit a complete reporting template with the number of 911 calls and required details (type of staff who made the call, time of call, reason for call) R9 Actively Engaged Reporting Submit Actively Engaged files for all enrolled projects Submit monthly Actively Engaged (AE) files via protocol communicated by MSPPS (Box/sFTP protocol) that adhere to specifications in the AE manual for all projects appropriate for the provider type; Attest to metric completion on Community Gateway 25
Process Metrics What are they? Care delivery transformation activities, by provider type, aligned to DSRIP performance measures, MSPPS priority clinical strategies, and improving collaboration between partners How do partners earn funds? Each metric will specify requirements (e.g., submit implementation plans, documents, reporting templates, etc.) Which partners are accountable? All partners, based on metric assignment/ provider type Please reference Community Gateway Metric Guides for additional details on your Process Metrics 26
P16 Improve Healthix Patient Consent Metric: Increase percent of patients who receive Healthix consent requests Partner reporting requirement No partner reporting requirement - Healthix will provide aggregate consent rate(s) for evaluation. Baseline measurement will be June 2017, and improvement measurement will be October 2017. NOTE: Any improvement of patient consent rate is sufficient for metric completion. Future rounds of MSPPS contracts may set threshold targets for Healthix consent improvement 27
Metric P16 Background and Context Purpose To improve Healthix patient consent across the MSPPS network by increasing the percent of patients who receive Healthix consent requests How MSPPS will use results from this metric To better understand Healthix consent rate(s) across the MSPPS network Appropriate activities to satisfy the metric Demonstrate an increase in the number of patients who receive Healthix consent requests 28
P17 Health Home Referral Implementation Metric: Demonstrate implementation of your organization s Health Home referral process through submission of Health Home data elements for the measurement period (September 1, 2017 through September 30, 2017) Partner reporting requirement Submit a complete reporting template with: Aggregate patient counts during the measurement period (September 1, 2017 through September 30, 2017) Total potentially* Health Home eligible patients (*see supplementary materials for definition/criteria of potentially Health Home eligible patients) Total patients referred to MSPPS Health Homes (e.g., via MAPP, MSPPS Command Center, co-location, etc.) Documentation of your data source(s), process to collect/report data NOTE: Individual patient data elements do not need to be reported, but should be collected and may be audited if deemed necessary by MSPPS. These data elements may be collected in future rounds of MSPPS contracts 29
Metric P17 Background and Context Purpose Ties directly to multiple performance measures and Equity Infrastructure Program (EIP) activities How MSPPS will use results from this metric To identify patients in need of care management services through a Health Home Appropriate activities to satisfy the metric Completed reporting template To demonstrate implementation of the MSPPS Care Management Approach To better understand Health Home referral patterns in the MSPPS network To leverage existing hospital-based and community resources and infrastructure Builds upon DY2 PP2 metric related to Health Home referral processes 30
P18 Tobacco Cessation Program Promotion Metric: Demonstrate promotion of your organization s tobacco cessation programs through submission of evidence and description of activities Partner reporting requirement Submit a complete reporting template with: All facilities where tobacco cessation programs are promoted. For each facility identified: Describe the activities, who they target, and how they are deployed For each facility listed: Provide at least one example of a material used to promote tobacco cessation programming, and describe how the material was used in the reporting template. Copies of the original material (e.g. handout, educational sheet, flyer, email, poster, text message) and a complete description of how the material was used (in reporting template) are required for metric completion NOTE: These sites do not have to actually offer the programming, they only need to promote programming 31
Metric P18 Background and Context Purpose Ties directly to multiple performance measures and Equity Infrastructure Program (EIP) activities Builds upon DY2 PP2 metric related to Smoking Cessation Education How MSPPS will use results from this metric Promotional materials will be used to verify EIP activities Appropriate activities to satisfy the metric Completed reporting template Example(s) of promotional materials from the identified programs 32
P19 HIV Prevention Program Metric: Submit documentation that your organization has an established HIV prevention program with PrEP Partner reporting requirement Submit a complete reporting template with: If your organization has an established/soon-to-be-launched structured HIV prevention program with PrEP, submit the following: Description of the HIV prevention program, including the role of PrEP, education elements, target audience, and the facilities/locations where the program activities take place Example of education/marketing materials. Copies of the original material are required for metric completion (e.g., cards, signs, web pages, posters, text messages, etc.) Internal guidelines or protocols for employees in, or implementing, the program If your organization has plans to establish a structured HIV prevention program with PrEP, submit the following: Description and timeline of the planned prevention program, including the role of PrEP If your organization does not have a structured HIV prevention program, and has no plans to establish one, submit the following: An explanation why a structured HIV prevention program with PrEP is not practical or applicable 33
Metric P19 Background and Context Purpose Ties directly to Equity Infrastructure Program (EIP) activities Builds upon DY2 PP2 metric related to HIV rapid-testing How MSPPS will use results from this metric To better understand MSPPS partners that offer HIV prevention programs with PrEP Appropriate activities to satisfy the metric Completed reporting template Example(s) of promotional materials from the identified programs 34
P20 Actively Engaged Performance Metric: Meet actively Engaged Patient count incentive threshold targets specified by MSPPS PMO for all enrolled projects Partner reporting requirement: No additional partner reporting requirement; threshold achievement determined through partner AE submissions. 35
Metric P20 Background and Context Purpose Ties directly to DSRIP Actively Engaged reporting and performance activities How MSPPS will use results from this metric To report DSRIP Actively Engaged activities to NYS Appropriate activities to satisfy the metric Regular submission of Actively Engaged files that meet patient count incentive thresholds, through the wellestablished, standard procedure 36
Next Steps and Key Dates
Next Steps Execute and return DY3 amendments via DocuSign Start gathering documentation to report on your DY3 metrics through the Community Gateway Medical Record Review webinar to be held on Thursday, September 28, 2017 38
Key Upcoming Dates Key Upcoming Dates Mid-August DY3 PP1 Amendments Released Via Adobe DocuSign 9/1/17 Partners can begin reporting for DY3 PP1 9/28/17 Medical Record Review webinar 9/29/17 DY3 PP1 Performance Period ends; DY3 PP1 Amendments due 10/1/17 Start of DY3 PP2 performance period 10/31/17 Last Day for DY3 PP1 Reporting December DY3 PP1 Payments Distributed 39
Timelines DY3 PP1 & DY3 PP2 Contracts DY3 PP1 Contracts Delivered End of reporting period Partners Paid June 17 July 17 Aug 17 Sept 17 Oct 17 Nov 17 Dec 17 Apr 18 May 18 June 18 DY3 PP2 Contracts Delivered End of reporting period Partners Paid 40
Q&A Questions? Please contact us at DSRIPContracting@mountsinai.org Contact your Partner Relations Representative! 41