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NYHQ DSRIP Finance Committee Kick-Off Meeting

Reviewing financial sustainability strategies, progress reports, and risks for successful implementation. Roles, responsibilities, and stakeholder engagement crucial for integrated delivery system development.

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NYHQ DSRIP Finance Committee Kick-Off Meeting

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  1. NYHQ DSRIP Finance Committee Kick-Off Meeting March 2015

  2. Agenda • Welcome & Introductions • PPS Overview & Organizational Structure • DSRIP Updates • Progress To Date • Implementation Plan • Committee Purpose • Implementation Plan Draft – Review • Revision process • Resources • Next Steps • Implementation Plan – Final Submission (April 1, 2015) • Next Committee Meetings

  3. PPS Organizational Structure NYHQ Board of Directors NYHQ Lead Hospital PAC Executive Committee Audit Compliance PMO High Risk Population Long Term Care Behavioral Health & Primary Care Integration Practitioner Engagement Communications Cultural Comp & Health Literacy Clinical Integration & Population Health Mgmt Workforce IT & Performance Reporting Finance *Sub-Committees & Workgroups will be formed as needed.

  4. PPS Org Structure: Committees

  5. DSRIP Updates • CNA Completed & Projects Selected –

  6. DSRIP Updates • Documents Available: • DSRIP Applications • Scale & Speed by Project • Implementation Plan Draft Current State

  7. DSRIP Updates First Due Date

  8. Committee Purpose Develop a structure for collaboration to focus on organizational functions and project implementation and outcomes specific to DSRIP deliverables according to the need of PPS partners and the community they serve. Committees will: • Refine & finalize Implementation Plans – Due April 1, 2015 • High level milestones / Risks & Mitigations / Financial Milestone Dates • Develop plans for actualization of functions or projects • Project Plans • Budgets • Partner Expectations • Engage key-stakeholders specific to project or function need • Provide guidance for best practice standards & evidence based medicine protocols • Recommend strategies or policies to the Executive Committee • Establish monthly reporting expectations & communication channels for progress updates • Partner with PMO to monitor monthly & quarterly deliverables • Create workgroups to continue development or implementation

  9. Financial Sustainability Implementation Plan: Strategy Updates

  10. Financial Sustainability Implementation Plan: Strategy Updates

  11. Financial Sustainability Implementation Plan: Progress Reports

  12. Financial Sustainability Implementation Plan: Risks & Mitigations • The path of attempts to convert from the historical FFS system to novel VBP schemes is littered with false starts and failures as the various players (patients, payors and providers) seek to perform in unfamiliar roles. Risk- measuring actuaries, viewing the medical patterns of a million-life pool, cannot diagnose and treat the maladies of a single individual. Likewise, a skilled obstetrician can deliver a new life without understanding the expected pmpm health expenses of childbearing women. Yet, VBP anticipates that patients and payors can measure healthcare value, and that providers can assume the financial risks of delivering that value, despite a myriad of factors beyond their control. Thus, the major challenge in implementing the PPS projects will be developing a mutual understanding by all players that this is not business as usual. Change is hard, especially in situations complicated by unaligned incentives. To succeed, PPS governance and management must continually reinforce the mutual goals of all of the players (including MCOs), ensure that incentives are aligned, and be fully cognizant that the DSRIP funding expires in only five years.

  13. Financial Sustainability Implementation Plan: Work Stream Dependencies • The Financial Sustainability is critically linked to all work streams and projects as the goal of the DSRIP program is to build a long-term integrated delivery system to benefit the community we serve.

  14. Financial Sustainability Implementation Plan: Roles & Responsibilities

  15. Financial Sustainability Implementation Plan: Stakeholders

  16. Financial Sustainability Implementation Plan: IT Expectations • Shared infrastructure will allow for cross pollination of data elements crossing all partners as monthly reporting will build expectations that will identify and outline financial sustainability models.

  17. Financial Sustainability Implementation Plan: Progress Reporting • The PPS will implement standardized monthly reporting expectations for all workflows utilizing consistent tools and reports that outline expectations to the project, milestone, metric, and requirement level. Reporting will be a bottom-up model that feeds directly from patients, providers, and staff and will be leveraged as an accountability tool for the Executive Committee. A project management tool is under review and will be purchased based on finalized budget planning.

  18. Funds Flow Implementation Plan: Design

  19. Implementation Plan Milestones

  20. Resources • NYHQ Project Management Office (PMO) – • Maria D’Urso – mda9005@nyp.org • Louisa Low – lil9084@nyp.org • Crystal Cheng – crc9038@nyp.org • NYHQ PPS Website - http://www.nyhq.org/dsrippps • NYS DSRIP Website - https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/ • Applications - https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/pps_applications/

  21. Next Steps • Implementation Plan Revision • Committee Feedback • KPMG Feedback • Committee Meetings • Additional Members • Implementation Plan Finalization • Actualization Planning • First Quarter Deliverable – Q2 DY1

  22. Questions?

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