CBO Listening Sessions: Proving Value is New for Everyone

“The concept of proving value is new for everyone,” explained a participant at our Brooklyn Listening Session, channeling the mood of the room. “We have had limited resources in place…[and] we need a central place to collect the data. Without data, how do we prove the work we have been doing over the years?”

Throughout July 2017, we hosted a series of Listening Sessions to hear from our community-based organization (CBO) partners (our partners that provide social services such as food and legal assistance) about their experiences-to-date, challenges and expectations regarding the changing health care landscape. Specifically, we asked about our partners’ organizational experience in developing and marketing a value proposition for one or more of its services, any preparations they’ve made to succeed in a value-based payment (VBP) environment, and where our partners envision themselves following the Delivery System Reform Incentive Payment (DSRIP) program.

While opinions varied, our partners focused on three important areas where OneCity Health can enable CBOs to better integrate with the evolving health care delivery system and demonstrate improved patient outcomes.

  • First, aligning our network to leverage CBOs’ strengths can improve their sustainability. With the health care system moving toward rewarding outcomes, CBOs want to ensure the services they provide are understood and integrated into OneCity Health’s workflows and referral patterns.

    For example, one attendee from Queens noted, “We often define ourselves based on the population served rather than the services provided.” Participants said that continuing to tailor metrics to CBOs is an important first step.

  • Second, CBOs are eager to implement data systems to facilitate analysis and track patient outcomes, but their resources are limited. The need goes beyond simply identifying or installing a new system; to align with the new health care environment, CBOs need to ensure they are using a common system, and that they know what to measure and how often they should measure.
  • Third, CBOs are seeking additional knowledge and assistance to increase their ability to operate in a value-based payment environment. A common set of definitions, with more thorough explanations around what services improve value, would help, explained an attendee from the Bronx.

    As one Bronx participant explained, “At [our organization] there are many different programs. The question is, how do we equate the service to the value that we really have, which is helping people get better?”

Beyond these three key takeaways, Listening Session participants acknowledged these conversations need to continue. In the near-term, these discussions will help influence the metrics and other parameters of our Phase III contracts. Additionally, as part of the technical assistance we are offering to our CBO partners, Community Service Society of New York (CSSNY) will begin reaching out to our CBO partners over the next few months to have them complete an Organizational Self-Assessment aimed at assessing their VBP readiness. Subsequently, CSSNY will be providing them with technical assistance to develop a value proposition. We hope our partners take advantage of this incredible opportunity to increase the sustainability of their agencies’ services.