albany medical center hospital pps pac meeting · –initial recommendations to pps by 11/22...

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Albany Medical Center Hospital PPS PAC Meeting November 21, 2016

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Page 1: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

Albany Medical Center Hospital PPS PAC Meeting

November 21, 2016

Page 2: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

Meeting Attendance

Please email confirmation of your participation in today’s meeting to

[email protected]

Name and Organization is required within 24 hours

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Page 3: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

Agenda

• PMO Updates

– Mid-Point Assessment

– PAOP Visit

– Additional High Performance Program

• Communications Update

– PAC – New Format in 2017

– Website updates

– Newsletter

• December PAC Meeting

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Page 4: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

From the Medicaid Director All – With the election results, many have raised questions regarding implications for DSRIP. We wanted to share the following points to help clarify some concerns.

– DSRIP is not part of the Affordable Care Act (ACA) and would not be affected by legislative attempts related to the ACA.

– DSRIP is part of a waiver amendment agreement with CMS, authorized through March 2020 and run by the state government.

– Health care system reform and Value Based Payment efforts will continue as these are industry drivers for improved quality and sustainability. Medicare has adopted VBP as part of their program policy and commercial payers are pursuing similar arrangements.

The tremendous efforts by the State and the PPSs to transform the system under DSRIP will continue. Please keep focused on the DSRIP goals and projects, and maintain the collaborative and positive work you and your staff have accomplished so far. Proceed with Fact-based Optimism.

Jason Helgerson

Medicaid Director

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Page 5: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

PMO Updates • Mid-Point Assessment

– Initial Recommendations to PPS by 11/22

– Public Comment opens 11/29

• PAOP Visit – 12/5

• Additional High Performance Program (AHPP)

– $250M in additional funding

– $661,373 awarded to AMCH PPS

– Contract with Fidelis to receive funding

– 5 year program, reevaluated annually based on

select performance measures

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Page 6: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

AHPP Performance Measures

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Potentially Preventable Emergency Department Visits (PPV) (All Population)

Potentially Preventable Readmissions (PPR) (All Population)

Antidepressant Medication Management – Effective Acute Phase Treatment

Antidepressant Medication Management – Effective Continuation Phase Treatment

Cardiovascular Monitoring for People with Cardiovascular Disease (CVD) and Schizophrenia

Diabetes Monitoring for People with Diabetes and Schizophrenia

Follow-up after hospitalization for Mental Illness – within 30 days

Follow-up after hospitalization for Mental Illness – within 7 days

Potentially Preventable Emergency Department Visits (Behavioral Health (BH) Population)

Page 7: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

AMCH PPS Communications Goals

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• Increased Collaboration

• Value-added content and delivery

• Reach multiple audiences

• Consistent evaluation

Page 8: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

New PAC Meeting Format

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Frequency

Forum/ location

Materials

Presenters

Evaluation

Page 9: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

PAC Meeting Topics of Interest

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0%

5%

10%

15%

20%

25%

Page 10: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

PAC Meeting Partner Presentations

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Implementation Strategies and

Impact

Challenges and

Successes

Collaboration Opportunities

and Experiences

Integration of Services

CBO Engagement

Data Management

We want to

hear from

you!

Page 11: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

AMCH PPS Website

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Website Redesign

Communications Center

Partner Portal Consumers, Workforce,

Public

Calendar of Events

Updates, Materials, Resources

Page 12: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

AMCH PPS Communications

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Newsletter Distribution

List Social Media

Page 13: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

December PAC Meeting

• Cancelled! Happy Holidays!

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Page 14: Albany Medical Center Hospital PPS PAC Meeting · –Initial Recommendations to PPS by 11/22 –Public Comment opens 11/29 •PAOP Visit – 12/5 •Additional High Performance Program

Questions???

DSRIP Project Management Office

[email protected]

**Please be sure to email us your name and your organization at the email above to get credit for your participation in today’s meeting**

Please also notify us of any changes to your organization’s contact list or committee membership

Next PAC Meeting:

Cancelled! Happy Holidays!

For additional information, please visit our website:

www.albanymedpps.org

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