Our initial value-based payment (VBP) training, “Value Based Payment: The Basics”, is now available to view and download. This training reviews key concepts and explains how VBP contracting can lead to improved care and lower costs. It also goes into more detail about OneCity Health’s upcoming support related to VBP.
Viewing or downloading this presentation will help OneCity Health partners complete Phase II Comprehensive Schedule B Process Metric PM017. Steps to complete the metric are detailed below.
A recorded version of the training is available to view below. The training materials also available to download:
The New York State Department of Health (NYSDOH) has launched Semester Three of VBP University, which is an online, educational resource created to raise awareness, knowledge and expertise in the move to value-based payment (VBP).
Semester 3 is designed to educate users on specific, important topic areas in the move to VBP. Topic areas include social determinants of health, community based organizations, and contracting VBP. The curriculum for Semester 3 includes videos on each of the topics as well as detailed guidance documents targeted towards managed care organizations (MCOs), providers, and community based organizations.
NYSDOH has also opened registration for the VBP Bootcamp in New York City on October 18, which is considered Semester Four of VBP University. VBP Bootcamps are a regional learning series intended to equip VBP contractors and interested parties such as MCOs, providers, associations, and community based organizations with the knowledge necessary to implement payment reform. The free, day-long VBP Bootcamp is designed to be an interactive training session that will give participants a thorough understanding of VBP.
“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.
Following treatment in the Emergency Department (ED), we can better meet the health needs of some patients through improved care coordination and a variety of other resources. Ranging from primary care follow-up appointments to care management services for patients with ambulatory care sensitive conditions, these programs can also help prevent unnecessary return visits in the future.
Through a Center for Medicare & Medicaid Innovation (CMMI) grant, teams of registered nurses (RNs), community liaison workers, physician advisors and pharmacists began providing similar support in six NYC Health + Hospitals facilities in September 2014. This program resulted in a steady decrease in ED revisits within 30 days of discharge over the course of the intervention period, and highlighted the need to include a social work component to better address patients’ social determinants of health. In May, CMMI staff gathered for an afternoon of training, team-building activities and a discussion on the success to date, lessons learned and next steps.
We plan to apply the findings under this grant regarding patient impact and quality outcomes to OneCity Health’s ED Care Management initiatives, through which we will focus on the highest-needs, highest-utilizing patients instead of all patients with ambulatory care sensitive conditions. Staff will continue to connect patients to primary care, while standardized workflows will help them to better identify providers with capacity, as well as other appropriate outpatient services. Their work will also include developing patient care plans, follow-up phone calls and, when appropriate, home visits, as well as medication reconciliation coordinated through the pharmacist and linking patients to community care management.
In addition to connecting patients to primary care, ED staff can also refer patients to care management services such as NYC Health + Hospitals/At Home, which includes primary care-care management, and our Health Home At-Risk program. Patients will also be linked to OneCity Health partners who provide community support, such as helping patients adhere to their treatment plan and other follow-up services.
Thank you to our CMMI teams for their enthusiasm and participation at our recent event. We look forward to building off their success and expanding our support for patients in the comings months.
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:
Comprehensive Schedules B updates
Closing Phase I
Approaching Phase II deadlines
OneCity Health’s HIV initiatives
OneCity Health’s training strategy
Q&A on connecting to the RHIO
Upcoming listening sessions and final reminders
Here is how to join:
Tuesday, July 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: 737 967 457
The New York State Office of Alcoholism and Substance Abuse Services (OASAS) is offering technical assistance resources and trainings to help our partners implement the Screening, Brief Intervention and Referral to Treatment (SBIRT) program.
Below please find complete details about SBIRT and how to access these resources. Our primary care partners that are Integrating Primary Care with Behavioral Health can report on their participation in any of these trainings through metric PM024 in their Phase 2 Comprehensive Schedule B.
SBIRT Technical Assistance Opportunity
What is SBIRT (Screening, Brief Intervention and Referral to Treatment)?
SBIRT is an evidence-based approach to identifying patients who use alcohol and other drugs at risky levels with the goal of reducing and preventing related health consequences, disease, accidents and injuries. Risky substance use is a health issue and often goes undetected. For more information on SBIRT please visit https://www.oasas.ny.gov/AdMed/sbirt/index.cfm and watch the following video:
What resources are available for SBIRT implementation?
NYS OASAS has a time-limited technical assistance opportunity for hands-on, intensive consultation, guidance, and training to emergency departments, primary care practices, and other health delivery practitioners implementing SBIRT across New York State. Technical assistance supports various stages of implementation and includes:
Advice and guidance on all aspects of readiness and practice implementation using OASAS resources and based on best practices;
education and training on SBIRT;
on-site implementation support, as needed.
NYS OASAS aims to advise individual sites in becoming fully operational and sustainable by:
Identifying barriers to implementation;
identifying strategies to overcome barriers;
assessing current workflows and assisting in reconfiguration;
creating and reviewing process maps;
and developing individualized project management tools such as project timelines & work plans.
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
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.
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.
The following information from the Health Resources & Services Administration is an opportunity for OneCity Health partners to consider submitting a grant application to expand the behavioral health workforce. All questions and requests should be directed towards the Health Resources & Services Administration, as instructed below.
The BHWET Program aims to develop and expand the behavioral health workforce serving populations across the lifespan, including rural and medically underserved areas. The BHWET Program places special emphasis on establishing or expanding meaningful, longitudinal internships or field placement programs in behavioral health that include interprofessional training for students/interns, faculty, and field supervisors to provide quality behavioral health services.
Grant recipients will help close the gap in access to behavioral health care services by establishing partnerships with a broad range of organizations and community partners to ensure a wide recruitment of students, opportunities for field placements, career development, and provide job placement services.
The deadline to submit an application is June 12, 2017.
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.
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 email@example.com by close of business Monday, June 5, 2017
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 firstname.lastname@example.org with the subject line “Strategic Advisory Workgroup/CBO Capacity Building.”