Developing an Integrated Delivery System

OneCity Health will release Comprehensive Schedules B to each of our partners that completed the Master Partner Data Survey in early July, which begins the process of enhanced cooperation and accountability with our network, and strengthens our ability to provide coordinated, high-quality patient care across a seamless continuum of care.

In short, we are laying the foundation for our Performing Provider System (PPS) to become a fully integrated delivery system (IDS).

The current health care system is institution-based, consisting of fragmented providers and organizations with limited abilities to coordinate, share information, and address the full range of patients’ needs. By caring for our patients in a community-based setting – inclusive of medical, behavioral, long-term care, community-based providers and social service organizations– we can place them at the center and work together to keep them healthy.

For example, our early work with Project 11 initiated our efforts to collaborate and engage patients. By working with our community partners to implement additional Delivery System Reform Incentive Payment (DSRIP) projects, we can continue to learn about our partners, share best practices and grow together into an IDS.

Following the release of the Schedules B, we will quickly shift our focus toward these goals by hosting monthly ‘Implementation Webinars’ for our partners. Our first webinar will be held on July 13th from 12:30 p.m. to 2 p.m. Details on the agenda are forthcoming.

In this next phase, we plan to implement our 11 DSRIP projects. While they may seem distinct from one another, they align around our larger transformation efforts to ensure our patients receive high quality care in the right setting at the right time.

Our projects are only a start. To put patients in the center of an IDS, we must work with our community partners on a number of additional components that further align our network and improve care. These include:

  • Utilizing appropriate technology, including electronic health records (EHRs) to share health information and better coordinate care among our partners

We look forward to working with our partners on these initiatives in the coming months. Please view our events calendar for more details on the monthly Implementation Webinars, and continue to visit our website for updates on the development of our IDS.

New York State Announced CRFP Grants

This past Friday, Governor Cuomo announced the grants awarded to Delivery System Reform Incentive Payment (DSRIP) partner organizations through the state’s Capital Restructuring Financing Program (CRFP), a funding initiative intended to support DSRIP program transformation efforts. The CRFP program is funded through a $1.4 billion pool at the state level and is distinct from DSRIP program funds.

We are very excited that New York State awarded NYC Health + Hospitals, OneCity Health’s lead partner, up to $300.5 million for five capital projects, representing the largest total award by the state under the CRFP program.

Throughout the application process, which began over a year ago, New York State emphasized that favorable projects would be for investments in physical capital that would create or expand primary care, promote care coordination and benefit the largest number of Medicaid enrollees and uninsured individuals, among other criteria that was closely related to DSRIP goals. New York State allocated the following grants to NYC Health + Hospitals (all numbers rounded):

  • ED Reconfiguration for Improved Access and Coordination – $31.5 million
  • Integration of Behavioral Health and Primary Care Services – $60 million
  • Digital Healthcare Network – $109 million
  • OneCity Health Patient Engagement and Contact Center – $19 million
  • Population Health IT – $81 million

  • The NYC Health + Hospitals projects the state chose – which by total dollar award mostly focused on digital health and information technology (IT) – better enable coordination and success throughout our Performing Provider System (PPS) and help us meet our larger goals. For example, the Digital Healthcare Network will allow us to create unified communications across the PPS, with joint access to imaging and remote patient monitoring, while the Population Health IT project similarly supports unified connectivity across the PPS so we can efficiently and responsibly exchange patient data to help improve health.

    Because of the large number of DSRIP partner applications submitted across New York State for this CRFP funding opportunity, only 20 percent of all applications were awarded. We are hopeful that all our partners will be able to continue to implement DSRIP projects and that their performance did not depend completely on receipt of potential awards.

    At this point, all DSRIP partner awardees are awaiting further instruction on how to qualify and meet CRFP requirements for potential funding. As OneCity Health receives additional information from the state, we are happy to share those details with other awardees and our entire OneCity Health partnership. You may also be aware that organizations throughout the state are continuing to lobby for additional capital funds in the state budget. If further capital funding opportunities arise, we will also alert our partners. Questions regarding how allocation decisions were made should be directed to the state at CRFP@health.ny.gov.