New Workgroup and Technical Assistance Participants Reflect Diversity, Expertise of our Partners

Thank you to all of our partners who expressed interest in our recent Project Participation Opportunity (PPO) for the Strategic Advisory Workgroup. Although participation is limited to ten organizations, we received 17 applications. In order to ensure that this workgroup reflects the diversity of our community partners and a variety of expertise that are key for the work ahead, partners were selected with experience in areas such as contracting with managed care organizations, training and implementing Community Health Worker programs, designated Health and Recovery Plan (HARP), Intellectual and Developmental Disabilities (IDD), increasing health care access, and support for senior citizens.

The following organizations have been asked to join the workgroup:

  • African Services Committee
  • Community Service Society of NY
  • God’s Love We Deliver
  • Health People
  • Lenox Hill Neighborhood House
  • Make the Road New York
  • NYC Department for the Aging (DFTA)
  • Ridgewood Bushwick Senior Citizens Council
  • South Asian Council for Social Services
  • Young Adult Institute (YAI) and Premier HealthCare

We are looking forward to working with all these organizations, and sharing their insights and expertise across our network later this year.

In addition to this workgroup, we expect to continue to hear the experiences and voices of all of our community partners in other forums such as the Project Advisory Committee (PAC) meetings and monthly OneCity Health Partner Webinars.

Finally, we are also excited to have Community Service Society of New York (CSSNY) soon begin as our technical assistance partner for community based organization (CBO) capacity building. They will work with us to provide our social service partners with organizational and educational assistance on preparing for value-based payments and improving health outcomes. Thank you to the other two applicants for their expressed interest in this role.

PPO: Strategic Advisory Workgroup & Capacity Building Technical Assistance

Our partnerships with community-based organizations (CBOs) are important to meeting Delivery System Reform Incentive Payment (DSRIP) program goals and improving health outcomes. As such, the growth of these CBOs to work in a value-based environment is essential. Therefore, we plan to invest in capacity building skills for partner CBOs to help promote their sustainability. Additionally, through a Strategic Advisory Workgroup, we will seek the advice of partner CBOs as critical providers in the integrated delivery system.

Through this Project Participation Opportunity (PPO), we are seeking to identify OneCity Health partners that are interested in participating in both initiatives:

  • We are seeking to identify 6-10 social service providers who are interested in participating in a Strategic Advisory Workgroup for Phase III contracting (contract period starting January 2018); and
  • We are seeking to identify 1-2 community partners with experience and infrastructure to provide OneCity Health’s social service community partners with technical assistance in capacity building, and creating a value-based-proposition.

Partners are welcome to apply to participate in both the Strategic Advisory Workgroup and provide capacity building technical assistance.

This PPO Interest Form outlines both opportunities, including background, criteria and next steps to express interest.

  • OneCity Health partners interested in applying for the Strategic Advisory Workgroup should complete the simple survey located here by close of business Monday, June 5, 2017
  • OneCity Health partners interested in applying to provide capacity building technical assistance for CBOs need to submit a one page description of their experience to the OneCity Health support desk at ochsupportdesk@nychhc.org by close of business Monday, June 5, 2017

Please review the Interest Form for additional background.

In addition, we will host a webinar to address questions about both opportunities on Thursday, June 1, 2017 from 4-5 p.m. The webinar is not mandatory for participation in either project, but is highly recommended.

Here is how to join:

Thursday, June 1, from 4:00 p.m. – 5:00 p.m. EST
WebEx Meeting Link: click here
Audio Connection: (877) 931-0379
Access Code: 5429582#

Please also email any questions to our support desk at ochsupportdesk@nychhc.org with the subject line “Strategic Advisory Workgroup/CBO Capacity Building.”

Partner Webinar: Recapping and Enhancing Partner Engagement

Thank you to our partners who attended today’s OneCity Health Partner Webinar: Recapping and Enhancing Partner Engagement

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:

  • As soon as possible, but by May 31, 2017: If our partners have not yet completed DSRIP compliance training, please do so immediately. Background on DSRIP compliance, instructions on how to easily meet this requirement and the attestation form to submit are available on our website
  • As soon as possible: Our partners should invoice for all Phase I metrics that they submitted and are approved
  • By May 15, 2017: Partners need to sign their Comprehensive Schedule B and complete the attestation on the Portal, otherwise they will forfeit participation in Phase II contracting
  • Week of May 15: Keep an eye out for our new Project Participation Opportunity (PPO)
  • May 24, 2017: Register for our webinar on the Co-location of Primary Care and Behavioral Health. Details are in our Events Calendar
  • By June 9, 2017: For our partners implementing Project 11, please complete metrics PM031, PM032 and PE03
  • June 13, 2017: Attend our next monthly OneCity Health Partner Webinar. The webinar will be held from 2 – 3:30 p.m. Details are in our Events Calendar
  • By June 30, 2017: Complete metrics PM007 (Phase II Partner Network & Gap Assessment Survey) and PM016 (NPI Survey) in the OneCity Health Partner Portal. We recommend our partners get started on the Network & Gap Assessment Survey when it becomes available in the Portal next week, leaving time in June to complete the NPI survey
  • If our partners have questions about completing metrics or submitting reports, please contact our support desk

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

Cultural Competence and Health Literacy Self-Assessments Set to Launch

The continuous demographic changes and diverse communities of New York City highlight the need to assess and improve the care and service delivery that is culturally and linguistically appropriate. OneCity Health, as a part of its health care transformation efforts, is initially investing $1.65 million in a Cultural Competence and Health Literacy (CCHL) initiative.

The CCHL initiative will provide us and our partners an opportunity to identify disparities and gaps in service delivery, and promote best clinical and administrative processes. The information collected will inform how we refine our cultural competency training efforts, workforce development, and evaluation metrics so that together we can continue to identify appropriate programs and other measures to improve access and effectively deliver equitable care.

To begin, we will soon be launching the CCHL site self-assessment for partners that expressed interest via the Project Participation Opportunity (PPO) in September. Over the next six months, 75 partner sites will complete the self-assessment. This initial self-assessment will establish a baseline and current state of each organization’s CCHL strengths and opportunities for improvement. By November 15, 2016 participating partners should receive a Schedule B via DocuSign. The CCHL Schedule B outlines project deliverables; partners should sign as soon as possible to begin.

As a reminder, participating partners will be required to designate a site liaison for each site that will participate in the assessment. The site liaison will be the main point of contact for CulturaLink, a vendor working with OneCity Health to complete the assessments.

For our partners who expressed an interest in facilitating focus groups at their sites, we will reach out to you soon with next steps.

Thank you again to our partners who have chosen to participate in the Cultural Competence and Health Literacy Organizational Self-Assessment. We look forward to beginning!

Cultural Competence and Health Literacy Focus Groups Project Participation Opportunity

Earlier in September, we shared a Project Participation Opportunity (PPO) with our partners to conduct an organizational self-assessment to identify strengths and areas for improvement in cultural competence and health literacy (CCHL), which is critical for the transformation of our health care delivery system. By participating in the assessment, our partners will gain feedback from their staff on service delivery, and better understand the concerns and perspectives of their patients and consumers.

Today we shared a second PPO with OneCity Health partners to express interest in conducting CCHL focus groups with patients or consumers from our identified priority populations. Feedback from our patients and clients will add to the qualitative data that we are collecting from providers for our CCHL self-assessment.

Our partners can read the Interest Form and express interest here.

Partner Webinar: Improving Access to Care

Thank you to our partners who attended today’s OneCity Health Partner Webinar: Improving Access to Care: Documenting Workflows & Cultural Competence.

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 September 30, 2016: 13 Comprehensive Schedule B metrics

    • Due by October 7, 2016: Complete the Excel template to submit a workforce report. Be on the lookout for the template and instructions via email

    • Due by October 15, 2016: five Patient Engagement metrics


  • Our support desk is also available for questions.

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

    Cultural Competence and Health Literacy Project Participation Opportunity

    The diversity of stakeholders that OneCity Health partners serve highlight the need to deliver culturally competent care and meaningful service that meets their linguistic and communication needs. Only by listening to the perspectives of both staff and patients, and thoughtfully evaluating how we deliver services, can we help eliminate health disparities, and provide optimal health care service encompassing of cultural and health equity.

    As a first step, OneCity Health is identifying partners via a Project Participation Opportunity (PPO) to participate in an organizational self-assessment to identify strengths and areas for improvement in cultural competence and health literacy (CCHL), which is critical for the transformation of our health care delivery system. By participating in this assessment, our partners will gain feedback from their staff on service delivery, and better understand the concerns and perspectives of their patients and consumers.

    The organizational assessment will also help us to establish a roadmap, which will include cultural competence recruitment and training efforts, CCHL workshops and development activities to help our partners meet “best practice” CCHL standards. We will also track cultural competence and health literacy capacity over time, using the organizational assessment as a baseline.

    We will further detail this opportunity in our September 13 monthly OneCity Health Partner Webinar. The deadline for partners to complete the PPO is September 19.

    Agenda for September 13 Partner Webinar

    On Tuesday, September 13, we are hosting our second 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
  • Version 2.0 of the OneCity Health Partner Reporting Manual
  • Reminders on Comprehensive Schedule B deadlines
  • Guidance on metric OO_2
  • Workforce reporting
  • Cultural competence and health literacy Project Participation Opportunity
  • Next steps
  • Here is how to join:

    Tuesday, September 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: 736 560 742

    Project 11 Project Participation Opportunity

    We are pleased to announce our latest Project Participation Opportunity (PPO) for Project 11 for our partners who work with uninsured and low- and non-utilizers of Medicaid. This Project Participation Opportunity is intended for OneCity Health community partners only; NYC Health + Hospitals sites should not submit an expression of interest and will be engaged in discussion around implementation through a separate process.

    Community partners that participate in this project will help us engage patients in their health care, connect patients to insurance and/or primary care and screen for care management services. Read this Project 11 Project Participation Opportunity for more details.

    Please note that this is not a procurement process, but rather a way for OneCity Health partners to self-identify interest in participating in project implementation.

    Interested partners should complete the interest form here by April 15, 2016. OneCity Health will respond to all expressions of interest by April 22, 2016.

    An expression of interest through the completion of the interest form will provide OneCity Health with an understanding of interest and resources within our Performing Provider System (PPS) partner network for both early and future roll-out of this program to primary care sites.

    We will also hold a webinar to take questions about this opportunity on Wednesday, April 13th, at 3 p.m. The webinar is not mandatory for participation in this project or submission of interest.

    Online Access: Click Here
    Meeting number: 734 032 514
    Join by phone: +1-855-282-6330 US TOLL FREE
    Access code: 731 788 715

    Questions regarding this Project Participation Opportunity should be sent to DSRIPSupport@nychhc.org with the subject line “Project 11 PPO Questions”. We will respond to your inquiries promptly.

    OneCity Health has Surpassed its Quarterly Goal for Project 11

    We are proud to announce that we have administered over 11,000 Patient Activation Measure (PAM®) surveys, surpassing our quarterly goal as committed to the New York State Department of Health (NYSDOH). Thank you to NYC Health + Hospitals and all of our community partners who helped us meet our initial goal for Project 11.

    However, this was just the start! Our transformation goal is not just about surveys – it is about effective outreach, linkage to primary care and social services, and training our partner staff to engage clients and patients in a culturally humble way so that they actively participate in managing their health conditions.

    Beginning April 1, we officially enter Delivery System Reform Incentive Payment (DSRIP) program year two, and over the next 12 months we have committed to administering 55,000 PAM® surveys and in linking at least that many people to high quality care. We are confident that in collaboration with NYC Health + Hospitals and our community partners we can meet this goal.

    We’d like to begin contracting for phase two of Project 11, so please review the following and contact us with questions at DSRIPSupport@nychhc.org.

    In our earliest contracts, which end on March 31, 2016, our payment was focused on PAM® survey administration. Starting April 1, we will contract for all activities related to Project 11, which include PAM® survey administration as well as efforts required to link people to insurance and services.

    For our partners that had previously signed a Schedule B to administer the PAM® survey, we will ask you to sign a new Schedule B that reflects the full range of activities through March, 2017. We will send you the Schedule B for phase two shortly.

    If you have not participated in Project 11 in the past, and are newly interested in participating during DSRIP Year two (April 1, 2016 – March 31, 2017), we will soon share a new Project Participation Opportunity (PPO) with our entire partner network.

    Please also remember we are still offering PAM® training sessions for partners that have signed a Schedule B. If you have questions regarding Project 11 or would like to enroll in training, please email PAM-Training-DSRIP@nychhc.org.

    Care Transitions Webinar

    We recently discussed how improving care transitions can help reduce avoidable hospital readmissions. Accompanying this article was a Project Participation Opportunity (PPO) for community partners who are interested in reducing 30-day hospital readmissions for patients with chronic health conditions.

    This week, we held a webinar to detail the care transitions intervention model. The slides can be viewed here.

    For questions regarding care transitions work, please email DSRIPSupport@nychhc.org with the subject line ‘Care Transitions.’