November 13,2015
Finger Lakes PPS
Western NOCN IT
and RHIO Regional
Summit
Tricia Williams, PRA
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Agenda
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Welcome and Introductions
Brief Overview of DSRIP and FLPPS
Overview of RHIO Services
FLPPS and the IDS
15 minute break
Panel Discussion
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Housekeeping
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Restrooms
Index cards on your tables
Post Survey
Wi-Fi capabilities
Availability of materials after event
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Today’s Presenters
• Overview of DSRIP & FLPPSTricia Williams, PRA for Western NOCN, FLPPS
• Overview of RHIO ServicesRochester RHIO
Gloria Hitchcock, Director of Care Improvement Initiatives &
Denise DiNoto, Director of Community Services
• FLPPS IDSJoey Rosario, Director of IT & Analytics, FLPPS
• Panel ParticipantsGloria Hitchcock, Denise DiNoto, Joey Rosario and Steve
Allen, HEALTHeLINK Operations Director
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DSRIP
Brief Overview
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What is DSRIP?
Delivery System Reform Incentive Payment
(DSRIP) program
• Objective: Fundamentally restructure
health care delivery system and transform
Medicaid in preparation for a value based
payment and managed care environment.
• Primary goal: Reduce avoidable hospital
use by 25%
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What is DSRIP?
• DSRIP is the main mechanism by which New
York State will implement the Medicaid
Redesign Team (MRT) Waiver Amendment.
• Up to $7.3 billion dollars over five years
• Payouts based on achieving predefined
results in system transformation, clinical
management and population health
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What is DSRIP?
• FLPPS has potential to draw down up to
$535 million in DSRIP funds; $565 million
if we overachieve
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DSRIP Principles
Patient Centered
Transparent
• Improving patient care & experience through a more
efficient, patient-centered and coordinated system
• Decision making process takes place in the public eye and
that processes are clear and aligned across providers
Collaborative
• Collaborative process reflects the needs of the communities
and inputs of stakeholders
Accountable
• Providers are held to common performance standards,
deliverables and timelines
Value Driven
• Focus on increasing value to patients, community, payers
and other stakeholders
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FLPPS
Brief overview
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Finger Lakes Performing Provider System
(FLPPS)
Performing Provider Systems:
• Mandated by NYS - providers must work together
and form regional entities responsible for the health
of the population in their service area. These entities
are Performing Provider Systems (PPS).
• The Finger Lakes Performing Provider System (FLPPS)
was formed under sponsorship of UR Medicine and
Rochester Regional Health and has over 600 Health,
human and social service partner organizations
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FLPPS Region
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Finger Lakes Performing Provider System
(FLPPS)
FLPPS covers a 13-County Region:
– Orleans
– Genesee
– Wyoming
– Allegany
– Monroe
– Livingston
– Steuben
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– Chemung
– Yates
– Ontario
– Wayne
– Seneca
– Cayuga
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FLPPS – Partnerships and Collaborations
• FLPPS has over 600 Safety Net and Non-Safety Net
partners in our network
• Approximately:
– 300 are Hospitals, Clinics, Nursing Homes and
Private Practices
– 300 are Community Based Organizations
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Finger Lakes Performing Provider System
(FLPPS)
Project Selection:
• Each PPS, including FLPPS was required to select a
minimum of 5 projects from a specified menu of
DSRIP projects and domains.
• The FLPPS Project selection process began with a
comprehensive Community Needs Assessment (CNA)
conducted by the Finger Lakes Health Systems
Agency with widespread community engagement.
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FLPPS – 11 Projects
Project Selection:
• These activities helped FLPPS understand the healthcare gaps in our
region, which included the need for:
1) An integrated delivery system to address
chronic conditions
2) Integration between physical and
behavioral health care systems
3) A way to address the social determinants of
health and healthcare disparities
4) Support of women and children
• FLPPS Selected 11 Projects based on these findings.
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FLPPS – 11 Projects
Domain 2: System Transformation Projects
• *2.a.i: Create integrated delivery systems that are
focused on evidence based medicine / population health
management*
• 2.b.iii – ED care triage for at-risk populations
• 2.b.iv – Care transitions intervention model to reduce 30
day readmissions for chronic health conditions
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FLPPS – 11 Projects
Domain 2: System Transformation Projects
• 2.b.vi – Transitional supportive housing services
• 2.d.i. Project 11 – Implementation of patient
activation activities to engage, educate and integrate
the uninsured, and low/non-utilizing Medicaid
populations in community based care
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FLPPS - 11 Projects
Domain 3: Clinical Improvement Projects
• 3.a.i – Integration of behavioral health and primary
care
• 3.a.ii – Behavioral health community crisis stabilization
services
• 3.a.v – Behavioral interventions paradigm (BIP) in
nursing homes
• 3.f.i – Increase support for maternal and child health
(including high risk pregnancies)
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FLPPS – 11 Projects
Domain 4: Population-wide Projects
• 4.a.iii – Strengthen mental health and substance
abuse infrastructure across systems
• 4.b.ii – Improve access to high quality chronic
disease preventative care and management in both
clinical and community settings.
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