Partner Webinar: Understanding and Improving Outcomes

Thank you to our partners who attended today’s OneCity Health Partner Webinar: Understanding and Improving Outcomes.

For our partners who were unable to view the webinar, the slides are available to view here.

The recording of the webinar will be embedded here as soon as it is available.

Our partners should keep in mind next steps:

  • Tomorrow, June 14, 2017: Attend our next OneCity Health City-Wide Project Advisory Committee (PAC) meeting at the CUNY School of Law in Long Island City. The agenda is now on our website
  • Coming Soon: We will email and post to our website an updated Phase II OneCity Health Partner Reporting Manual
  • Coming Soon: GSI Resources will be posted to our website in June
  • June 20 and June 27, 2017: NYC Health + Hospitals is hosting Immigrant Health Care Rights Events in the Bronx and Brooklyn, respectively. Legal experts will be on site, and attendees can sign up for insurance. Details and flyers to share with patients, consumers and clients are on our Events Calendar
  • June 22, 2017: Register for our event: Engaging Immigrant Patients & Clients in Free Legal Services: The Ins and Outs for Staff. Training takes place in the Bronx. Details are on our Events Calendar
  • June 30, 2017: Complete metric PM007 (Phase II Partner Network & Gap Assessment Survey). It is now available to complete in the OneCity Health Partner Portal
  • July 11, 2017: Attend our next monthly OneCity Health Partner Webinar. The webinar will be held from 2 – 3:30 p.m. Details are on our website Events Calendar
  • August 15, 2017: New deadline for both the NPI Survey and Phase III Contracting Survey

Additionally, if partners are interested in speaking with us directly to learn more about quality improvement, share their successes and challenges, and discuss methods that may work for their organization, please reach out to us.

We look forward to continuing to engage with our partners on future webinars.

Agenda for June 13 Partner Webinar

On Tuesday, June 13, we are hosting our next monthly OneCity Health Partner Webinar.

As a reminder, on these webinars we intend to further assist partners in understanding Comprehensive Schedule B requirements, discuss practical steps for project execution and reporting, and highlight best practices. Moreover, throughout Phase II, we expect to focus more on educational topics and begin to showcase how we are collectively meeting various outcomes.

The agenda for Tuesday’s webinar is:

  • Approaching Comprehensive Schedule B deadlines
  • Coming soon: updated OneCity Health Partner Reporting Manual and new GSI resources
  • Outcome measures and strategies for improving outcomes
  • Final reminders

Here is how to join:

Tuesday, June 13th, from 2:00 p.m. – 3:30 p.m. EST
WebEx Meeting Link: click here
Audio Connection: 1-855-282-6330 US TOLL FREE
Access Code: 733 500 966

Asthma Webinar Recap: Identifying and Addressing the Root Causes of Exacerbations

Thank you to everyone who attended our March 20, 2017 webinar “Asthma Exacerbations: Identifying and Addressing the Root Causes”.

In this presentation we discussed the important role of community health workers (CHWs) and other health care workers in helping patients who have had an asthma exacerbation. During the webinar, we detailed:

  • Why asthma exacerbations occur
  • The role of a CHW in identifying and addressing root causes of asthma
  • How CHWs can use alerts in the GSI software program to find out when a patient with asthma was in the hospital or emergency department

Miss the webinar? The slides are available to view here.

You can also view a recording of the webinar here. We will embed it below soon.

Upcoming Asthma Webinar: Identifying and Addressing the Root Causes of Exacerbations

Asthma is the third leading cause of hospitalization among children under the age of 15 in the United States, often times because families may not understand how to reduce triggers. So how can we help reduce the number of asthma attacks?

Please join OneCity Health for a webinar on March 20, 2017 entitled “Asthma Exacerbations: Identifying and Addressing the Root Causes” where we will discuss how community health workers (CHWs) and other health care workers can best help patients who have had an asthma exacerbation.

Dr. Luis Rodriguez, Chief, Department of Pediatrics, NYC Health + Hospitals/Woodhull and Elvira Fardella-Roveto, MSN, FNP, Home Care Director, St. Mary’s Healthcare System for Children will join us on the webinar to discuss:

  • Why asthma exacerbations occur
  • How CHWs are identifying and addressing the root causes of asthma
  • How CHWs can use alerts in the GSI software program to find out when a patient with asthma was in the hospital or emergency department

Participants will be able to ask questions via the chat function during the webinar. For our partners who cannot attend live, this webinar will be recorded and posted to our website.

Here is how to join the webinar:

Monday, March 20, from 3 p.m. – 4 p.m. EST
WebEx Meeting Link: click here
Audio Connection: 1-855-282-6330 US TOLL FREE
Access Code: 737 673 960

About the Presenters
Luis Rodriguez, MD, FAAP, Chief, Department of Pediatrics, NYC Health + Hospitals/Woodhull
As Chief of NYC Health + Hospitals/Woodhull’s Department of Pediatrics, Dr. Rodriguez is responsible for overseeing the complete range of services the hospital provides to younger patients. He is particularly concerned with efforts to increase wellness and manage chronic conditions – such as asthma – that are having a devastating impact on our communities. Dr. Rodriguez has served in several leadership roles in the American Lung Association at the city, state, and regional levels. He has volunteered with the Open Airways in School Program which teaches New York City elementary school children with asthma about their disease, and in the “Rostros de la Gripe” campaign encouraging the Hispanic community to get their annual influenza vaccine.

Elvira Fardella-Roveto, MSN, FNP, Home Care Director, St. Mary’s Healthcare System for Children
Ms. Fardella-Roveto, has been with St. Mary’s Healthcare System for Children for over seven years, serving as Director of Professional Services & Home Care Administrator. In her role, Ms. Fardella-Roveto oversees all aspects of the Special Needs Certified Home Health Care Agency, which helps families care for their special needs child at home. Her additional responsibilities include ensuring the provision of quality care to clients and families, managing a staff of skilled professionals and maintaining compliance with Department of Health regulations. Ms. Fardella-Roveto has an extensive background in healthcare, having held positions in various healthcare settings. She has experience with private duty and high tech nursing, case management, community health, and education.

Agenda for February 14 Partner Webinar

On Tuesday, February 14, we are hosting our next monthly OneCity Health Partner Webinar.

As a reminder, on these webinars we intend to further assist partners in understanding Comprehensive Schedule B requirements, discuss practical steps for project execution and reporting, and highlight best practices.

Additionally, attending these webinars will help our partners complete the Comprehensive Schedule B performance metric to “attend 75 percent of monthly webinars hosted by OneCity Health within the Schedule B period”. We detailed the webinar series here.

The agenda for Tuesday’s webinar is:

  • OneCity Health Partner Webinar series logistics and dates for DSRIP Year 3
  • New York State DSRIP compliance requirements
  • Reminders on invoicing, GSI and the OneCity Health Partner Portal
  • Workforce Impact Survey
  • Phase II contracts and metrics
  • Upcoming PAC meeting and final reminders

Here is how to join:

Tuesday, February 14th, from 2:00 p.m. – 3:30 p.m. EST
WebEx Meeting Link: click here
Audio Connection: 1-855-282-6330 US TOLL FREE
Access Code: 736 864 167

Partner Webinar: Our Path to an Integrated Delivery System

Thank you to our partners who attended today’s OneCity Health Partner Webinar: Our Path to an Integrated Delivery System: Contributions to Success.

For our partners who were unable to view the webinar, the slides are available to view here.

Please also view the webinar here:

Our partners should keep in mind next steps:

  • For our partners that completed metrics in October, invoice us to receive payment
  • Five metrics are due on December 31, 2016. Our partners should check their Schedule B now to see if they are required to complete them. If they are, they should begin to prepare and reach out to us if they have questions. The templates will be on the OneCity Health Partner Portal in early December
  • Continue to enroll in GSI training and stay tuned for additional training dates
  • Continue to attend monthly OneCity Health Partner Webinars. Our next one will be December 13

Our support desk is also available for questions.

We look forward to continuing to engage with our partners on future webinars.

Agenda for November 15 Partner Webinar

On Tuesday, November 15, we are hosting our fourth monthly OneCity Health Partner Webinar.

As a reminder, on these webinars we intend to further assist partners in understanding Comprehensive Schedule B requirements, discuss practical steps for project execution and reporting, and highlight best practices.

Additionally, attending these webinars will help our partners complete the Comprehensive Schedule B performance metric to “attend 75 percent of monthly webinars hosted by OneCity Health within the Schedule B period”. We detailed the webinar series here.

The agenda for Tuesday’s webinar is:

  • OneCity Health Partner Webinar series logistics
  • A recap of October performance metrics
    • Foundation for an integrated delivery system
    • Preparing for the next round of metrics
    • Earning payments and invoicing OneCity Health
  • A recap of patient engagement metrics
    • Strengthening primary care to improve patient care
    • Coordinating care with GSI training
  • Building toward an IDS and final reminders
  • Here is how to join:

    Tuesday, November 15th, from 2:00 p.m. – 3:30 p.m. EST
    WebEx Meeting Link: click here
    Audio Connection: 1-855-282-6330 US TOLL FREE
    Access Code: 732 648 658

    November GSI Trainings

    As we discussed in our October 11, 2016 OneCity Health Partner Webinar, we are continuing to schedule trainings for our partners in GSIHealthCoordinator (GSI), a care coordination and population health management platform. We have added a number of new sessions for November at locations across the city; please visit our Events Calendar to view the dates and register.

    There are two training options for partners contracted to provide asthma services. Please review carefully before selecting a GSI training.

      1) Partners with a distinct Schedule B for asthma community health workers – This training is for asthma community health workers who have OneCity Health patients within their caseloads and their respective supervisors
      2) Partners with the Asthma-Clinical project included in their Comprehensive Schedule B – This training is for primary care staff who are implementing the Asthma-Clinical project

    To attend a session, partners need to register ahead of time and must have a signed Schedule B with OneCity Health.

    Partner Webinar: Coordinating Patient Care

    Thank you to our partners who attended today’s OneCity Health Partner Webinar: Coordinating Patient Care: GSI and the RHIO.

    For our partners who were unable to view the webinar, the slides are available to view here.

    Please also view the webinar here:

    Our partners should keep in mind next steps:

    • Due by October 14, 2016: 13 Comprehensive Schedule B metrics
    • Due by October 15, 2016: Five Patient Engagement metrics
    • Continue to attend monthly OneCity Health Partner Webinars. Our next one will be November 15, 2016
  • Our support desk is also available for questions.

    We look forward to continuing to engage with our partners on future webinars.

    Agenda for October 11 Partner Webinar

    On Tuesday, October 11, we are hosting our third monthly OneCity Health Partner Webinar.

    As a reminder, on these webinars we intend to further assist partners in understanding Comprehensive Schedule B requirements, discuss practical steps for project execution and reporting, and highlight best practices.

    Additionally, attending these webinars will help our partners complete the Comprehensive Schedule B performance metric to “attend 75 percent of monthly webinars hosted by OneCity Health within the Schedule B period”. We detailed the webinar series here.

    The agenda for Tuesday’s webinar is:

    • OneCity Health Partner Webinar series logistics
    • Comprehensive Schedule B deadlines
    • Enrollment in GSI training
    • Background on the Regional Health Information Organization (RHIO) and OneCity Health IT assessments
    • Final reminders
    • Patient Engagement metrics
  • Here is how to join:

    Tuesday, October 11th, from 2:00 p.m. – 3:30 p.m. EST
    WebEx Meeting Link: click here
    Audio Connection: 1-855-282-6330 US TOLL FREE
    Access Code: 730 459 022

    Community Health Workers’ Role in Improving Kids’ Asthma

    When children come to the Emergency Department suffering from an asthma attack, doctors and nurses provide treatments that give immediate relief. There are sometimes difficulties or barriers to keeping children from having asthma attacks at all – families may not understand how to identify and reduce asthma triggers such as dust, mold or vermin in the home, and children and their families may have difficulty getting or properly taking medications that can prevent attacks.

    Asthma is the third leading cause of hospitalization among children under the age of 15 in the United States. At OneCity Health, our goal is to make sure that children and their families don’t need to come to the Emergency Department or spend the night at the hospital because of asthma attacks. Through the Delivery System Reform Incentive Payment (DSRIP) program, OneCity Health is beginning to connect primary care physicians with community health workers and home remediation services, helping the professionals across these organizations work together to care for patients with asthma.

    After identifying a patient with frequent or severe asthma attacks, clinical care teams will refer patients to a community health worker (CHW) to meet with the patient and complete an asthma assessment. Community health workers will reinforce recommendations from the clinical team, including correct use of medications. In addition, the community health workers will conduct home visits to evaluate the home environment for asthma triggers, such as mold or dust. Based on the assessment, the CHWs can provide materials such as pillow cases or cleaning supplies, instruct families in home-cleaning strategies, or engage home remediation services to provide professional cleaning.

    Through ongoing home visits and phone calls with patients’ families, communication with the patient’s clinical care team, and care coordination that is supported by care management software, the CHWs will continue to engage patients and help them to manage their asthma.

    In order to begin, we have shared Schedules B with our partners who employ CHWs. They should sign them right away so we can begin to match them with clinical sites.

    Please review our previously released asthma care model webinar to learn more.